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Arizona 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
$14,679.80 / $21,436.90 / $28,175.40
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,100.43 / $11,167.03 / $18,887.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,912.66 / $21,532.13 / $36,039.92
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,465.18 / $24,030.14 / $35,085.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,276.51 / $23,123.82 / $33,331.54