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Virginia rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,142.20 / $18,795.90 / $21,270.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.07 / $18,183.03 / $25,008.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,204.85 / $17,458.21 / $26,417.32
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,073.00 / $19,129.00 / $26,741.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $17,537.41 / $28,842.07