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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
$25,367.60 / $32,705.20 / $36,921.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,721.20 / $41,341.23 / $47,518.39
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,779.43 / $24,430.18 / $33,807.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $17,299.90