go back

Michigan rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,309.57 / $10,000.00 / $13,489.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,120.11 / $13,489.63 / $16,595.87
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,456.54 / $9,772.37 / $13,182.57
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $12,022.64 / $12,022.64
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,623.41 / $8,912.51 / $13,803.84