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Utah rates for MS-DRG 264

Skn Grft/Debrid,Skn Ulcr,Cellulit W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,868.60 / $60,425.40 / $73,673.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,369.42 / $81,678.00 / $99,533.46
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,146.73 / $47,239.77 / $70,814.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $31,962.86 / $35,611.00