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Utah rates for MS-DRG 842

Lymphoma And Non-Acute Leukemia Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,175.90 / $18,276.30 / $21,648.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,932.31 / $24,704.38 / $29,956.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,577.91 / $14,292.92 / $21,312.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $9,667.51