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Idaho rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,471.29 / $17,378.01 / $32,359.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,738.03 / $53,703.18 / $56,234.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $13,489.63 / $30,199.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $21,877.62 / $33,113.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $19,952.62 / $21,877.62