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Louisiana rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,523.90 / $11,761.60 / $19,684.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $11,725.56 / $18,606.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,724.14 / $13,232.34 / $22,190.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $13,493.47 / $23,746.50