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Alabama rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,007.50 / $12,133.40 / $13,989.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,252.00 / $3,485.00 / $5,462.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,902.42 / $14,170.20 / $24,320.49
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,137.00 / $13,789.54 / $21,413.39