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Oregon rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,912.50 / $32,214.90 / $38,898.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $29,089.50 / $43,406.71
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,769.20 / $26,189.18 / $30,420.54
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,662.86 / $21,375.22 / $31,847.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,859.43 / $26,114.16 / $41,265.30
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,460.74 / $23,588.97 / $32,266.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $28,422.47 / $40,894.43