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Utah rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,024.80 / $13,712.03 / $16,046.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,613.03 / $16,805.56 / $19,316.63
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,820.98 / $9,167.90 / $13,743.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $7,518.53