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North Dakota rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,822.50 / $9,822.50 / $9,822.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,890.91 / $17,124.55 / $27,780.39
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,651.38 / $5,814.92 / $13,485.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,651.38 / $5,814.92 / $13,754.64