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Louisiana rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,837.14 / $6,674.49 / $11,170.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,583.16 / $17,583.16 / $17,583.16
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,423.00 / $7,988.65 / $12,539.08
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,950.77 / $7,509.08 / $12,592.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,600.00 / $6,060.25 / $13,475.66