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Nebraska rates for MS-DRG 904

Skin grafts for injuries w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,653.69 / $60,275.80 / $76,804.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,030.89 / $61,744.81 / $72,727.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,899.96 / $62,619.01 / $87,724.65
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,504.22 / $68,308.64 / $87,724.65