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Nebraska rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,610.50 / $24,342.70 / $31,017.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,957.31 / $24,935.95 / $29,371.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,286.81 / $25,289.00 / $35,428.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,924.09 / $27,586.79 / $35,428.04