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Nebraska rates for MS-DRG 804

Other O.R. proc of the blood & blood forming organs w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $21,877.62 / $28,183.83
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $19,498.45 / $26,915.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,022.64 / $22,908.68 / $32,359.37
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,748.98 / $19,054.61 / $21,877.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,481.54 / $22,908.68 / $32,359.37