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Utah rates for MS-DRG 456

Spinal fus exc cerv w spinal curv/malig/infec or ext fus w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80,010.00 / $120,169.00 / $219,745.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,205.00 / $88,578.00 / $151,104.14
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85,166.28 / $114,469.71 / $171,594.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $80,403.73