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Virginia rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,794.67 / $13,614.00 / $15,406.40
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,560.33 / $11,434.78 / $15,443.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,115.74 / $12,531.94 / $16,507.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,933.24 / $12,456.00 / $19,893.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $12,801.10 / $20,890.49