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Tennessee rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,566.93 / $11,086.10 / $19,508.30
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,328.84 / $4,925.49 / $8,148.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,802.35 / $10,218.65 / $14,710.18
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,517.65 / $14,517.65 / $21,095.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,787.00 / $9,661.41 / $13,800.22