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Missouri rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,102.12 / $9,165.57 / $15,217.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,717.57 / $7,067.20 / $11,971.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,515.39 / $9,402.10 / $12,978.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,911.25 / $9,814.64 / $21,095.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,911.25 / $9,273.23 / $13,170.01