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Texas rates for MS-DRG 117

Intraocular procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $15,535.00 / $24,594.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,027.00 / $15,425.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,314.95 / $15,113.74 / $28,597.96
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,493.40 / $33,544.46 / $33,544.46
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,543.00 / $13,409.36 / $31,278.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,432.00 / $12,150.88 / $27,667.12