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Alaska rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,812.00 / $20,684.59 / $42,025.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,617.45 / $31,617.45 / $33,592.94
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $12,219.19 / $16,640.06
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $10,547.57 / $33,592.94