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Maine rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,594.86 / $12,803.17 / $15,811.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,586.76 / $12,135.90 / $23,759.45