go back

Utah rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,221.10 / $19,623.90 / $22,510.38
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,033.31 / $26,525.91 / $30,716.37
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,846.40 / $14,578.36 / $21,853.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $10,380.32