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Utah rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,940.26 / $12,815.50 / $15,262.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,470.65 / $16,342.25 / $18,784.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,632.94 / $9,711.20 / $13,364.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $6,778.93