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Virginia rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,511.38 / $13,489.63 / $15,488.17
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,549.93 / $14,454.40 / $19,054.61
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,128.31 / $12,882.50 / $16,982.44
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $14,791.08 / $19,952.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $13,803.84 / $20,417.38