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Utah rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,365.30 / $16,842.41 / $19,411.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,122.95 / $25,019.79 / $29,360.82
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,367.74 / $13,935.00 / $20,889.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $13,231.00 / $16,136.42