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North Carolina rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $6,085.00 / $15,522.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,700.14 / $19,700.14 / $19,700.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,200.00 / $12,835.45 / $19,700.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,525.70 / $16,003.14 / $21,698.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,708.24 / $17,622.03 / $25,445.24