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Nebraska rates for MS-DRG 575

Skin Graft For Skin Ulcer Or Cellulitis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,910.70 / $29,488.90 / $37,575.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,907.97 / $30,207.57 / $35,580.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,095.73 / $30,635.26 / $42,917.75
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,768.45 / $30,351.84 / $42,917.75