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Utah rates for MS-DRG 921

Complications Of Treatment Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,658.25 / $12,451.90 / $14,194.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,173.60 / $16,831.45 / $19,584.32
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,915.51 / $9,426.31 / $13,933.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $6,586.61