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Nebraska rates for MS-DRG 004

Trach w MV >96 hrs or PDX exc face, mouth & neck w/o maj O.R.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$162,181.01 / $223,872.11 / $288,403.15
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,651.58 / $43,651.58 / $43,651.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,647.82 / $199,526.23 / $275,422.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123,026.88 / $234,422.88 / $331,131.12
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,647.82 / $229,086.77 / $281,838.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$109,647.82 / $234,422.88 / $331,131.12