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California rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,472.03 / $14,973.40 / $24,280.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,257.43 / $11,320.14 / $23,844.27
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $10,434.24 / $19,112.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,647.97 / $15,978.14 / $27,569.01
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,378.98 / $14,517.65 / $21,095.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,319.67 / $13,294.16 / $27,809.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $12,168.11 / $24,911.43