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Utah rates for MS-DRG 194

Simple pneumonia & pleurisy w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,306.80 / $16,617.70 / $30,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,910.08 / $19,704.34 / $23,351.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,245.92 / $11,083.12 / $16,614.02
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,710.85