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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
$20,417.38 / $30,199.52 / $43,651.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $14,454.40 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $25,703.96 / $42,657.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $28,183.83 / $40,738.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $26,915.35 / $39,810.72