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Michigan rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,509.40 / $9,492.87 / $15,409.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,553.42 / $22,111.51 / $28,348.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,643.57 / $14,778.12 / $18,691.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,791.47 / $10,208.90 / $16,324.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,942.55 / $13,581.86 / $20,634.80