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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
$19,186.30 / $36,546.00 / $44,128.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,397.00 / $33,000.35 / $56,218.32
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,671.80 / $30,539.52 / $35,112.92
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,115.84 / $24,762.20 / $33,796.83
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,194.04 / $32,469.94 / $49,872.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,319.18 / $29,869.30 / $37,623.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $32,243.64 / $46,392.35