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South Dakota 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
$147,910.84 / $147,910.84 / $194,984.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $158,489.32 / $158,489.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91,201.08 / $128,824.96 / $239,883.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$102,329.30 / $141,253.75 / $234,422.88