go back

Texas rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,804.00 / $9,770.00 / $17,814.09
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $2,610.05 / $10,082.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,746.88 / $10,946.98 / $18,999.07
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,887.70 / $21,095.13 / $21,095.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,912.00 / $9,822.50 / $18,999.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,771.84 / $8,800.95 / $20,039.47