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Oregon rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $42,657.95 / $85,113.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,387.21 / $37,153.52 / $56,234.13
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $30,902.95 / $47,863.01
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $24,547.09 / $32,359.37
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $33,884.42 / $56,234.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,379.62 / $30,199.52 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $34,673.69 / $41,686.94