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Nebraska rates for MS-DRG 122

Acute Major Eye Infections Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,269.33 / $12,895.00 / $16,431.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,789.09 / $13,209.30 / $15,558.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,038.41 / $13,396.32 / $18,767.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,729.96 / $14,613.52 / $18,767.25