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Utah rates for MS-DRG 915

Allergic Reactions With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,681.93 / $24,368.10 / $34,338.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,851.71 / $41,115.29 / $49,491.92
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,476.32 / $23,489.46 / $35,211.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $16,089.55