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North Dakota rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $19,054.61 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $34,673.69 / $53,703.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $11,481.54 / $26,302.68
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $20,417.38 / $25,703.96