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Nebraska rates for MS-DRG 101

Seizures w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,308.43 / $14,071.60 / $18,873.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,552.45 / $27,552.45 / $27,552.45
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,361.79 / $15,172.71 / $17,871.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,084.59 / $15,387.52 / $21,556.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,622.12 / $16,785.65 / $21,556.80