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Idaho rates for MS-DRG 121

Acute Major Eye Infections With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,237.00 / $10,237.00 / $10,237.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,810.00 / $40,732.94 / $42,553.51
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,990.93 / $23,885.31 / $24,675.19
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,108.00 / $16,171.31 / $26,784.77
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,888.93 / $15,122.90 / $21,889.82