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Virginia rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,142.80 / $23,451.50 / $26,526.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,175.68 / $19,927.84 / $27,408.17
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,973.78 / $21,577.64 / $32,945.55
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,335.00 / $22,052.00 / $28,094.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $22,560.20 / $35,969.51