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Nebraska rates for MS-DRG 158

Dental & Oral Diseases w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,574.24 / $14,929.90 / $19,023.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,560.31 / $15,293.74 / $18,014.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,149.08 / $15,510.27 / $21,728.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,738.76 / $16,919.55 / $21,728.75