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Utah rates for MS-DRG 738

Uterine & adnexa proc for ovarian or adnexal malignancy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,603.09 / $26,562.50 / $31,276.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,702.39 / $35,904.97 / $43,198.28
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,253.95 / $20,502.41 / $30,733.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $14,050.61