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Utah rates for MS-DRG 839

Chemotherapy with acute leukemia as secondary diagnosis without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,257.90 / $26,117.50 / $29,657.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,338.83 / $33,953.03 / $39,026.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,780.74 / $18,522.33 / $27,765.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $18,670.00 / $22,768.86