go back

Missouri rates for MS-DRG 113

Orbital Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $25,703.96 / $33,113.11
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $26,302.68 / $43,651.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $30,902.95 / $41,686.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $28,183.83 / $46,773.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $25,703.96 / $40,738.03