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Nebraska rates for MS-DRG 690

Kidney & urinary tract infections w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,451.45 / $12,620.20 / $16,926.59
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,469.93 / $11,469.93 / $11,469.93
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,616.59 / $13,607.70 / $16,028.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,250.69 / $13,800.36 / $19,333.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,113.90 / $15,054.27 / $19,333.29