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Nebraska rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,989.90 / $28,053.00 / $35,745.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,084.69 / $28,736.70 / $33,848.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,311.99 / $29,143.56 / $40,827.99
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,059.53 / $31,791.57 / $40,827.99