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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
$194,765.00 / $194,765.00 / $194,765.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,705.93 / $154,983.31 / $154,983.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91,419.24 / $128,818.02 / $241,312.14
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101,295.29 / $144,816.39 / $237,025.16