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Wisconsin rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,314.70 / $16,314.70 / $19,336.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,753.50 / $19,123.57 / $28,607.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,343.43 / $16,515.32 / $28,098.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,938.14 / $19,154.78 / $31,353.61
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$172.90 / $10,912.20 / $15,999.02
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,585.02 / $18,924.11 / $22,240.57
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,260.48 / $20,185.32 / $25,445.24