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Tennessee rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,066.51 / $15,305.80 / $26,933.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,353.42 / $10,765.72 / $17,852.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,010.90 / $14,108.18 / $19,555.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,582.90 / $28,582.90 / $33,544.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $13,338.85 / $19,053.00