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Ohio rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,886.75 / $11,125.40 / $15,394.60
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,699.07 / $8,850.45 / $13,408.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $9,307.79 / $15,516.41
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,564.00 / $9,192.29 / $14,145.19
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,263.27 / $11,746.14 / $17,111.58