go back

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
$12,882.50 / $19,054.61 / $25,118.86
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $19,054.61 / $25,118.86
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $14,791.08 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,165.95 / $15,135.61 / $21,877.62