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Tennessee rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $14,125.38 / $38,018.94
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $16,218.10 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $18,620.87 / $25,118.86
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $54,954.09 / $54,954.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,951.21 / $19,498.45 / $29,512.09