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Arizona rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,029.70 / $24,868.40 / $32,685.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,110.77 / $14,031.87 / $23,541.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,924.56 / $25,094.08 / $44,760.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,421.06 / $27,876.85 / $40,702.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,421.06 / $25,915.25 / $40,702.48