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Maine rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,667.73 / $15,013.00 / $19,247.43
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,367.16 / $11,857.90 / $23,215.20