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Arkansas rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,631.04 / $7,257.65 / $14,749.50
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,662.10 / $7,662.10 / $7,662.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,285.95 / $6,626.05 / $7,575.29
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,494.78 / $7,956.23 / $10,347.41
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,811.42 / $8,811.42 / $8,811.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,286.00 / $6,380.70 / $9,826.43