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Iowa rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,006.40 / $15,739.40 / $19,384.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,730.38 / $13,902.08 / $14,142.91
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,420.54 / $16,057.40 / $25,161.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,225.31 / $20,290.93 / $26,778.58