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California rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $25,118.86 / $47,863.01
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $26,915.35 / $45,708.82
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $17,378.01 / $38,904.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $22,387.21 / $38,904.51
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,286.14 / $51,286.14 / $51,286.14
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $24,547.09 / $44,668.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,754.40 / $21,379.62 / $42,657.95