go back

North Carolina rates for MS-DRG 121

Acute Major Eye Infections With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $4,479.00 / $17,118.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,868.13 / $21,868.13 / $21,868.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.36 / $13,521.04 / $20,596.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,286.34 / $17,019.08 / $22,741.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,352.67 / $15,314.84 / $24,223.40