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Indiana rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,195.30 / $25,206.40 / $33,825.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,096.66 / $18,781.20 / $29,532.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,477.37 / $20,295.00 / $46,544.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,726.05 / $19,991.93 / $28,321.00