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Maine rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,093.60 / $27,836.88 / $35,688.31
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,725.78 / $23,705.00 / $46,409.24