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Massachusetts rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,161.70 / $16,924.40 / $22,097.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $15,455.49 / $41,386.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,562.87 / $15,812.42 / $23,892.75
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,455.26 / $22,455.26 / $22,455.26
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,778.23 / $15,929.59 / $24,599.02
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $15,455.49 / $41,386.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,840.42 / $15,455.49 / $32,344.12