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South Carolina rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $26,915.35 / $60,255.96
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $21,379.62 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $26,915.35 / $38,018.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $41,686.94 / $63,095.73