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Louisiana rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,669.87 / $13,342.90 / $22,331.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $15,094.67 / $23,248.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,897.04 / $15,011.32 / $25,173.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $15,307.56 / $26,939.03