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Pennsylvania rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $12,882.50 / $18,620.87
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,317.64 / $13,182.57 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,606.93 / $12,022.64 / $19,054.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,803.84 / $13,803.84 / $16,982.44
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,025.60 / $14,125.38 / $16,982.44
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $6,456.54 / $22,387.21
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,079.46 / $12,022.64 / $17,782.79
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,897.79 / $5,754.40 / $7,943.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $9,332.54 / $16,595.87