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Ohio rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,451.90 / $21,731.10 / $30,070.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,466.93 / $19,976.48 / $30,264.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,979.90 / $20,093.38 / $31,124.70
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,813.36 / $19,310.58 / $29,454.73
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,153.36 / $23,480.95 / $33,423.98