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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
$10,232.93 / $13,182.57 / $15,488.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $14,454.40 / $18,620.87
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $12,302.69 / $18,197.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $6,760.83 / $11,748.98