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Illinois rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,082.70 / $19,132.50 / $29,395.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,145.20 / $17,397.68 / $25,450.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,285.34 / $16,960.65 / $30,698.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$125.00 / $179.87 / $286.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,531.68 / $18,727.31 / $30,820.79