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Oklahoma rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,743.54 / $17,847.80 / $25,270.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,390.45 / $16,846.65 / $27,103.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,130.34 / $16,055.05 / $28,564.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,446.58 / $15,147.93 / $33,777.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,308.00 / $14,817.92 / $30,016.50