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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
$4,606.80 / $6,718.25 / $10,905.80
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,757.98 / $9,757.98 / $9,757.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,756.61 / $12,448.83 / $15,960.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,409.47 / $10,458.70 / $13,228.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,806.43 / $7,225.00 / $11,553.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,621.06 / $9,612.09 / $14,603.56