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Pennsylvania rates for MS-DRG 116

Intraocular Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,061.20 / $29,560.60 / $40,367.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,379.00 / $26,225.00 / $42,294.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,889.70 / $26,503.13 / $40,226.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,793.87 / $29,793.87 / $36,178.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,305.40 / $28,929.60 / $39,948.19
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,810.70 / $24,409.35 / $37,697.08
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $13,066.30 / $18,544.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,263.02 / $22,791.10 / $41,340.40