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Utah rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,512.60 / $66,412.60 / $87,393.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,261.14 / $87,984.53 / $101,131.07
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,710.87 / $47,998.02 / $71,950.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $13,328.00 / $35,129.87