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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
$13,182.57 / $15,488.17 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $22,387.21 / $29,512.09
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $16,218.10 / $20,417.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $14,791.08 / $16,982.44