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Nebraska rates for MS-DRG 576

Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,577.60 / $80,428.89 / $102,484.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,115.39 / $82,389.17 / $97,043.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,900.05 / $83,555.66 / $117,055.36
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82,013.96 / $91,147.62 / $117,055.36