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Utah rates for MS-DRG 335

Peritoneal adhesiolysis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,099.70 / $64,591.10 / $72,917.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,772.94 / $87,308.86 / $103,187.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,436.91 / $48,973.87 / $73,413.71
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $34,166.37