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Utah rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,151.20 / $36,293.90 / $41,875.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,653.28 / $46,712.67 / $53,692.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,959.58 / $25,483.07 / $38,200.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $19,198.18 / $34,434.00