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Massachusetts rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,547.10 / $23,944.40 / $31,262.80
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $21,866.19 / $58,553.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,529.41 / $22,371.17 / $34,231.33
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,769.36 / $31,769.36 / $31,769.36
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,493.23 / $22,536.94 / $34,802.32
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $21,866.19 / $58,553.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $21,866.19 / $45,759.97