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Utah rates for MS-DRG 201

Pneumothorax Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,032.90 / $12,934.90 / $19,246.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,568.18 / $16,775.83 / $19,282.45
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,808.92 / $9,426.31 / $13,718.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $6,842.08