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Nebraska rates for MS-DRG 839

Chemotherapy with acute leukemia as secondary diagnosis without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,194.80 / $23,694.50 / $30,191.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,103.81 / $22,103.81 / $22,103.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,080.50 / $24,271.96 / $28,589.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,933.01 / $24,615.61 / $34,484.66
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,384.33 / $24,615.61 / $34,484.66