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New Jersey rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,839.50 / $24,328.90 / $31,669.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,995.21 / $24,241.00 / $32,905.01
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,187.00 / $17,868.00 / $27,809.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,764.00 / $30,009.42