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Utah rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$194,984.46 / $208,929.61 / $275,422.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$204,173.79 / $309,029.54 / $398,107.17
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $218,776.16 / $257,039.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $199,526.23 / $229,086.77