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Utah rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.09 / $25,312.63 / $29,039.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,016.66 / $30,749.49 / $35,344.05
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,480.50 / $18,172.74 / $25,145.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $13,606.65