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Washington rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,848.50 / $26,873.00 / $47,323.30
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.00 / $23,658.01 / $33,544.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,579.16 / $20,895.16 / $35,004.30
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,434.24 / $17,700.40 / $22,906.40
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,409.00 / $20,303.29 / $33,308.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,282.13 / $23,692.37 / $32,482.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $16,832.22 / $45,991.08