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Wisconsin rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,346.40 / $20,346.40 / $24,114.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,881.34 / $20,958.63 / $31,352.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,640.86 / $20,596.58 / $35,042.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,888.29 / $23,888.30 / $39,101.69
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$189.49 / $11,959.31 / $18,949.06
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,942.14 / $23,600.62 / $27,736.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,290.28 / $25,173.51 / $31,733.26