go back

Kansas rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,073.57 / $18,460.20 / $29,723.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,117.95 / $22,117.95 / $22,117.95
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,474.01 / $7,152.26 / $25,336.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,362.84 / $19,301.37 / $27,342.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,680.59 / $16,188.59 / $33,998.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,966.86 / $16,188.59 / $34,437.01