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Kentucky rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,950.70 / $21,649.80 / $34,658.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,737.41 / $16,997.16 / $24,120.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,891.41 / $17,270.68 / $30,260.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,658.32 / $19,559.23 / $26,209.95