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Nebraska rates for MS-DRG 115

Extraocular Procedures Except Orbit

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,152.50 / $25,187.80 / $32,094.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,102.04 / $25,801.67 / $30,391.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,748.10 / $26,166.98 / $36,658.01
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,865.38 / $28,544.54 / $36,658.01