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California rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,255.06 / $14,630.40 / $23,724.10
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,057.87 / $10,057.87 / $10,057.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,269.15 / $13,780.10 / $29,025.83
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $11,375.25 / $22,909.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,840.83 / $15,656.21 / $26,937.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,069.03 / $21,881.05 / $25,679.27
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,011.92 / $13,048.76 / $27,172.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,693.00 / $11,889.38 / $24,340.80