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North Carolina rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $6,085.00 / $19,358.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $15,766.00 / $24,569.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,126.81 / $19,794.39 / $26,766.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,601.58 / $21,976.78 / $31,733.26