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Utah rates for MS-DRG 193

Simple pneumonia and pleurisy with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,441.00 / $24,150.00 / $30,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,425.00 / $32,137.21 / $37,525.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,250.79 / $17,810.03 / $26,697.92
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $12,576.18