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Alaska rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,204.80 / $34,828.00 / $70,761.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,236.25 / $53,236.25 / $56,562.53
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $20,574.20 / $31,984.82
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $20,274.09 / $56,562.53