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Michigan rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,608.46 / $13,768.00 / $21,801.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,289.79 / $17,471.77 / $22,399.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,814.00 / $20,907.86 / $26,444.65
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,608.46 / $14,443.40 / $23,095.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,237.00 / $19,215.41 / $29,193.80