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Nebraska rates for MS-DRG 114

Orbital procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,238.20 / $22,202.80 / $28,291.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,072.81 / $22,743.93 / $26,789.40
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,118.82 / $23,065.94 / $32,313.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,918.60 / $25,161.74 / $32,313.70