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Utah rates for MS-DRG 825

Lymphoma and non-acute leukemia with other procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,932.09 / $24,408.20 / $27,554.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,942.25 / $30,494.30 / $35,050.72
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,376.92 / $17,049.97 / $24,937.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $12,911.06