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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
$14,269.80 / $22,252.00 / $28,354.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,836.18 / $22,794.36 / $26,848.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,145.69 / $23,117.09 / $32,385.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,967.20 / $25,217.53 / $32,385.35