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Washington rates for MS-DRG 116

Intraocular Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $44,668.36 / $75,857.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $35,481.34 / $58,884.37
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $31,622.78 / $41,686.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $35,481.34 / $52,480.75
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,542.29 / $35,481.34 / $50,118.72
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $40,738.03 / $56,234.13