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Louisiana rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,834.87 / $9,431.04 / $15,784.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,272.00 / $10,833.46 / $16,379.62
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,995.44 / $10,610.32 / $17,793.43
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,062.00 / $10,819.71 / $19,041.08