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Idaho rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,547.12 / $9,547.12 / $9,547.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,733.58 / $37,987.76 / $39,685.64
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,603.18 / $21,578.87 / $23,236.74
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $15,126.20 / $25,053.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,087.68 / $14,103.70 / $20,414.56