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Illinois rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,953.95 / $13,523.30 / $21,293.30
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,256.16 / $19,256.16 / $19,256.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,877.88 / $12,528.86 / $18,311.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,683.54 / $11,988.15 / $21,698.00
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92.30 / $127.14 / $202.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,564.48 / $13,236.86 / $21,784.79