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Utah rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,028.80 / $29,689.90 / $36,091.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,257.61 / $38,781.87 / $44,576.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,740.66 / $21,838.88 / $31,714.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $15,704.92