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Colorado rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,489.50 / $24,187.00 / $36,491.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,745.00 / $27,081.85 / $53,528.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,738.00 / $22,579.91 / $36,575.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,736.55 / $34,062.50 / $48,487.49