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Utah rates for MS-DRG 541

Ecmo, Trach Mv 96+H Or Pdx Ex Fmn Maj Or

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,047.20 / $14,242.60 / $17,939.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,636.68 / $19,252.00 / $24,915.40
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,797.99 / $11,825.15 / $17,726.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,533.84