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Idaho rates for MS-DRG 116

Intraocular Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,911.30 / $15,911.30 / $15,911.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,887.53 / $63,310.62 / $66,140.30
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,115.54 / $36,235.78 / $39,018.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $23,108.36 / $38,274.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,478.78 / $23,505.30 / $34,023.01