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New York rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,252.61 / $12,704.80 / $22,322.20
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,302.14 / $19,480.77 / $26,986.16
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,167.97 / $17,913.88 / $28,642.41
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,043.31 / $19,298.46 / $40,469.49
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,167.97 / $19,171.02 / $28,649.48
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,761.06 / $15,806.00 / $24,640.33