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Utah rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,858.50 / $16,577.80 / $19,127.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,544.60 / $22,408.52 / $26,587.06
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,388.28 / $12,618.54 / $18,915.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $8,769.07