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Minnesota rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,303.00 / $15,640.60 / $25,543.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,657.66 / $28,411.38 / $38,121.94
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,925.34 / $23,242.99 / $32,582.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,735.04 / $25,813.95 / $32,542.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,735.04 / $26,028.83 / $34,131.57