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Utah rates for MS-DRG 696

Kidney and urinary tract signs and symptoms without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,666.67 / $12,462.80 / $15,409.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,182.45 / $16,846.12 / $19,701.08
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,956.74 / $9,350.37 / $14,016.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $6,592.35