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Utah rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,586.30 / $19,275.80 / $24,140.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,471.27 / $28,115.80 / $32,316.83
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,411.55 / $15,510.22 / $22,992.18
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $11,311.29