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New Jersey rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,753.80 / $30,341.00 / $39,495.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,453.70 / $30,231.00 / $41,036.49
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,772.00 / $21,121.00 / $34,812.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,346.00 / $37,425.33