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Other Disorders of the Eye without Major Complications

West Virginia rates for MS-DRG 125

Other Disorders of the Eye without MCC

Rates data updated July 2026.

How much does Other Disorders of the Eye without Major Complications cost?

$7,413

Typical facility fee. In West Virginia, July 2026.

Insurers have agreed to pay about $7,413 for this service. Most negotiated rates run $7,244 to $9,550.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7,413 · 10th to 90th $7,244 to $13,183
$2K$5K$10K$20Kfacility $7,413

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$7,244.36
Typical High
$7,244.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8,128.31
Median
$10,471.29
Typical High
$14,454.40
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$23,442.29
Median
$23,442.29
Typical High
$23,442.29
United
Setting
Facility
Modifier
Global
Typical Low
$6,456.54
Median
$7,413.10
Typical High
$10,715.19

Where West Virginia sits

The same service costs 7.9 times more in Montana than in New Mexico. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

West Virginia· 46th of 51

$7,413

MT $48,978NM $6,166

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.