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Utah rates for MS-DRG 139

Salivary Gland Procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,336.90 / $22,351.60 / $28,323.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,261.93 / $30,212.99 / $39,100.29
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,806.89 / $18,557.47 / $27,818.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $11,823.18