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Utah rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,653.59 / $26,627.60 / $41,114.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,755.59 / $35,992.99 / $42,309.76
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,940.20 / $20,080.72 / $30,101.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $14,085.05 / $23,995.00