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Ohio rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $15,488.17 / $24,547.09
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,182.57 / $20,417.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,232.93 / $16,595.87 / $24,547.09
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,912.51 / $14,125.38 / $22,908.68
SummaCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $10,232.93 / $17,378.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $16,595.87 / $23,442.29