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Idaho rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,906.40 / $11,906.40 / $11,906.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,834.21 / $47,375.30 / $49,492.74
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,812.89 / $27,731.43 / $30,001.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $16,205.88 / $25,752.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,827.66 / $17,589.00 / $25,459.40