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Utah rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,086.70 / $31,053.80 / $35,829.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,371.92 / $40,570.69 / $46,632.73
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,466.70 / $22,132.45 / $33,177.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $16,426.34