go back

New York rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,213.20 / $26,742.60 / $45,152.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,630.97 / $43,970.32 / $57,015.97
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,659.45 / $38,121.97 / $55,960.92
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,617.56 / $37,695.61 / $79,048.88
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,659.45 / $41,505.69 / $56,269.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,723.62 / $35,103.16 / $52,771.40