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Iowa rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,553.90 / $9,141.20 / $11,258.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,393.59 / $8,074.10 / $8,213.96
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.00 / $150.00 / $150.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,213.64 / $9,325.87 / $14,613.52
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,842.61 / $11,784.64 / $15,552.55