go back

Illinois rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,413.80 / $16,865.09 / $23,691.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,823.75 / $15,394.43 / $22,493.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,829.41 / $15,190.13 / $27,060.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$115.11 / $158.56 / $252.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,928.05 / $16,507.95 / $27,168.24