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Wisconsin rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,816.90 / $11,816.90 / $14,005.30
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,391.43 / $12,026.25 / $17,990.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,664.73 / $11,962.15 / $20,352.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,646.87 / $13,873.93 / $22,709.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$108.73 / $6,862.36 / $10,873.15
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,839.71 / $13,706.85 / $16,108.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,880.34 / $14,620.36 / $18,430.15