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North Carolina rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $6,085.00 / $21,961.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $17,840.14 / $27,872.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,891.60 / $22,455.59 / $30,364.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,564.64 / $24,931.38 / $35,999.54