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Nebraska rates for MS-DRG 624

Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,174.30 / $20,543.70 / $26,177.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,779.13 / $21,044.44 / $24,787.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,213.27 / $21,342.39 / $29,899.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,280.78 / $23,281.58 / $29,899.13