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Nebraska rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,416.90 / $17,803.30 / $22,685.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,643.04 / $18,237.16 / $21,481.02
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,717.45 / $18,495.38 / $25,910.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,575.38 / $20,175.89 / $25,910.67