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Louisiana rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,950.54 / $6,830.96 / $11,432.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $6,871.86 / $10,361.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,066.84 / $7,685.12 / $12,887.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $6,202.32 / $13,791.58