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New Jersey rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,472.70 / $17,689.90 / $22,938.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,136.82 / $17,558.00 / $23,833.31
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,817.00 / $4,817.00 / $4,817.00
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,881.00 / $12,040.00 / $18,818.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,098.00 / $18,065.00 / $21,736.01