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Wyoming rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $27,542.29 / $34,673.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $39,810.72 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $17,378.01 / $17,782.79