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Utah rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,354.00 / $23,663.00 / $26,975.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,333.38 / $31,482.86 / $36,186.99
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,778.16 / $17,174.78 / $25,745.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $12,516.86