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North Carolina rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$789.00 / $4,479.00 / $11,563.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,486.34 / $16,486.34 / $16,486.34
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,089.36 / $9,296.79 / $14,413.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,623.83 / $11,505.00 / $15,545.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,291.76 / $12,188.54 / $18,430.15