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Arizona rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,011.50 / $21,921.30 / $28,812.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,973.81 / $13,545.55 / $22,910.47
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,800.33 / $22,120.20 / $39,456.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,882.47 / $24,573.19 / $35,878.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,882.47 / $22,844.05 / $35,878.85