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Utah rates for MS-DRG 433

Alcohol/Drug Abuse, Dependence, Left Ama

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,818.50 / $19,104.70 / $22,929.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,609.17 / $25,824.20 / $30,465.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,757.91 / $14,459.42 / $21,675.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $10,105.71