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Rhode Island rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,721.50 / $53,721.50 / $53,721.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,662.77 / $41,532.86 / $42,251.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,306.00 / $10,063.00 / $21,907.63