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Indiana rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,825.16 / $14,639.50 / $19,645.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,693.15 / $15,693.15 / $15,693.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,057.98 / $10,776.83 / $16,945.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,246.65 / $11,787.00 / $27,032.31
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,552.65 / $11,610.98 / $16,448.37