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Kansas rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,918.31 / $16,218.10 / $22,908.68
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $20,417.38 / $33,884.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $16,218.10 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $14,454.40 / $29,512.09