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Nebraska rates for MS-DRG 138

Mouth Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,325.89 / $14,542.60 / $18,530.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,129.98 / $14,897.02 / $17,546.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,937.69 / $15,107.94 / $21,165.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,356.44 / $16,480.66 / $21,165.11