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Oregon 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 / $18,709.90 / $22,591.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,916.00 / $16,894.70 / $24,907.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,530.00 / $16,077.42 / $19,831.16
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,750.96 / $11,296.25 / $15,699.15
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,598.61 / $15,391.02 / $23,495.42
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,445.33 / $13,494.99 / $17,109.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $15,404.82 / $22,190.99