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North Dakota rates for MS-DRG 114

Orbital procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,912.50 / $16,912.50 / $16,912.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,639.35 / $29,485.25 / $47,832.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,480.87 / $10,012.20 / $23,218.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,480.87 / $10,012.20 / $23,682.91