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Nebraska rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,491.60 / $24,157.20 / $30,781.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,628.20 / $24,746.00 / $29,147.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,185.60 / $25,096.36 / $35,158.16
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,848.02 / $27,376.64 / $35,158.16