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New Jersey rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,409.50 / $34,420.10 / $44,805.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,800.21 / $34,369.00 / $46,553.52
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,581.00 / $25,004.00 / $38,470.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $19,347.00 / $42,456.87