go back

Utah rates for MS-DRG 563

Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,563.90 / $16,198.00 / $22,892.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,234.25 / $21,895.06 / $25,453.64
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,988.04 / $12,080.60 / $18,109.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $8,568.14