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West Virginia rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,075.01 / $21,048.08 / $29,133.94
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,462.10 / $31,462.10 / $31,462.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,411.80 / $25,411.80 / $25,411.80