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Alaska rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $29,512.09 / $61,659.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $46,773.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $20,417.38 / $20,417.38
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $16,982.44 / $26,302.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $46,773.51