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Utah rates for MS-DRG 175

G.I. Hemorrhage W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,271.59 / $24,845.90 / $32,726.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,299.90 / $33,584.66 / $40,128.35
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,169.91 / $19,045.40 / $28,549.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $13,142.60