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Utah rates for MS-DRG 903

Wound Debridements For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,409.50 / $21,155.90 / $25,243.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,285.06 / $28,596.84 / $34,717.53
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,259.27 / $16,477.36 / $24,700.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $11,190.73