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Massachusetts rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,178.60 / $21,106.80 / $27,557.90
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $19,274.84 / $51,614.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,926.05 / $19,719.98 / $29,797.12
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,004.39 / $28,004.39 / $28,004.39
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,183.09 / $19,866.09 / $30,677.92
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $19,274.84 / $51,614.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $19,274.84 / $40,336.99