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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
$28,079.80 / $44,786.60 / $78,869.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,361.86 / $36,456.73 / $51,893.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,964.32 / $34,824.01 / $58,338.35
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,463.45 / $30,810.45 / $35,048.83
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,625.54 / $31,114.19 / $50,885.26
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,401.97 / $36,194.92 / $49,623.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $28,052.67 / $76,648.98