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Arkansas rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,999.10 / $14,176.30 / $28,810.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,107.24 / $13,923.16 / $15,917.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,779.62 / $15,540.86 / $20,211.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $14,121.08 / $19,852.40