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Nebraska rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,220.03 / $17,167.30 / $29,407.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,489.00 / $6,489.00 / $6,489.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,760.00 / $14,803.28 / $27,862.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $17,147.00 / $30,344.50
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,705.00 / $23,909.58 / $35,248.92