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Vermont rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,309.07 / $32,736.35 / $43,374.74
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,414.20 / $24,280.58 / $42,416.96
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,414.20 / $24,280.58 / $42,416.96
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,395.32 / $54,395.32 / $54,395.32