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Utah rates for MS-DRG 336

Peritoneal adhesiolysis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,585.10 / $38,142.50 / $49,380.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,163.65 / $51,557.93 / $60,154.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,241.29 / $28,549.85 / $42,797.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $20,176.04