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Utah rates for MS-DRG 639

Diabetes Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,715.44 / $11,236.40 / $13,266.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,180.46 / $15,188.40 / $17,844.31
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,301.09 / $8,469.12 / $12,695.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $5,943.64