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Utah rates for MS-DRG 402

Lymphoma&Nonacu Leuk Oth O.R Proc Wo Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,407.60 / $80,010.00 / $104,733.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,417.40 / $129,231.00 / $167,832.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $38,468.14 / $90,091.00