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Arizona rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,718.45 / $12,731.50 / $16,733.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,267.40 / $8,898.37 / $15,050.39
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,856.75 / $12,788.11 / $21,404.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,966.62 / $14,271.70 / $20,837.84
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,271.79 / $12,186.97 / $19,454.84