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Georgia rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $29,512.09 / $44,668.36
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $13,803.84
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $28,183.83 / $42,657.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,982.44 / $23,442.29 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,311.31 / $19,498.45 / $39,810.72