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Arizona rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,037.00 / $17,577.59 / $23,102.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,099.50 / $11,164.48 / $18,883.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,669.46 / $17,737.03 / $31,637.85
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,140.86 / $19,703.95 / $28,769.38
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,140.86 / $18,317.45 / $28,769.38