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South Carolina rates for MS-DRG 114

Orbital procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,224.50 / $23,582.80 / $23,582.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,843.27 / $20,299.07 / $30,063.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,805.00 / $25,965.42 / $40,806.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,118.55 / $35,232.12 / $45,490.57