go back

Montana rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,550.00 / $41,000.00 / $47,500.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,295.00 / $18,295.00 / $18,295.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,443.66 / $6,443.66 / $18,295.00