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California rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,309.10 / $25,781.40 / $41,806.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,886.12 / $18,184.24 / $41,554.36
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $16,691.45 / $37,175.82
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,465.18 / $27,060.00 / $48,965.70
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,573.32 / $31,325.65 / $36,763.31
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,253.98 / $22,726.34 / $48,965.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $20,951.21 / $42,892.81