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Utah rates for MS-DRG 489

Knee procedures w/o pdx of infection w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,668.70 / $20,200.90 / $24,801.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,504.75 / $27,305.87 / $35,267.16
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,453.35 / $17,217.03 / $25,091.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $10,685.54 / $18,492.00