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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
$24,547.09 / $37,153.52 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $37,153.52 / $48,977.88
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $30,902.95 / $47,863.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $19,952.62 / $42,657.95