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Utah rates for MS-DRG 195

Simple Pneumonia And Pleurisy Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,817.85 / $12,834.00 / $30,272.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,288.36 / $15,366.89 / $17,733.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,261.87 / $8,416.41 / $12,616.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $6,013.49