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Connecticut rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,962.10 / $36,019.50 / $53,721.50
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,773.31 / $29,346.30 / $42,868.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,215.36 / $35,376.37 / $49,310.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,845.00 / $35,644.98 / $45,856.67