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Utah rates for MS-DRG 204

Respiratory signs & symptoms

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,327.80 / $14,604.40 / $16,648.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,932.25 / $19,741.00 / $23,095.66
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,155.42 / $10,961.48 / $16,431.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,725.20