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Utah rates for MS-DRG 735

Pelvic Evisceration, Radical Hysterectomy And Radical Vulvectomy Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,877.40 / $24,337.60 / $31,245.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,884.62 / $30,075.59 / $34,569.44
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,206.98 / $16,544.77 / $24,594.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $12,873.74