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Utah rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $16,595.87 / $19,952.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $17,782.79 / $22,908.68
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $14,791.08 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,388.44 / $8,511.38 / $14,791.08