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Nebraska rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,455.87 / $11,626.50 / $14,814.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,525.53 / $11,909.89 / $14,028.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,346.03 / $12,078.51 / $16,921.11
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,477.70 / $13,175.97 / $16,921.11