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Alaska rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,616.20 / $35,615.00 / $72,360.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,439.31 / $54,439.31 / $57,840.75
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $21,039.15 / $28,999.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $18,381.66 / $57,840.75