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Washington, DC rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,237.50 / $37,333.40 / $51,210.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,952.09 / $33,381.01 / $62,771.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,890.12 / $28,038.02 / $49,184.34