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New York rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,765.80 / $23,573.30 / $39,801.19
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,076.00 / $33,791.51 / $43,436.26
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,500.05 / $33,604.16 / $49,329.03
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,292.68 / $33,228.33 / $69,680.85
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,500.05 / $36,586.87 / $49,600.98
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,808.30 / $30,943.11 / $46,517.49