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Missouri rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,958.08 / $15,781.40 / $26,200.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,221.50 / $12,316.29 / $20,864.06
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,603.06 / $17,250.75 / $25,612.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,456.25 / $16,169.70 / $36,763.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,456.25 / $16,134.53 / $22,676.28