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Utah rates for MS-DRG 558

Tendonitis, Myositis And Bursitis Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,531.60 / $16,156.40 / $18,239.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,200.25 / $21,401.51 / $24,599.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,686.37 / $11,675.12 / $17,501.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $8,546.14