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Utah rates for MS-DRG 116

Intraocular Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $33,884.42 / $39,810.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $36,307.81 / $47,863.01
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $30,902.95 / $44,668.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $17,378.01 / $30,199.52