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South Dakota rates for MS-DRG 013

Sinus and Mastoid Procedures with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,521.00 / $40,521.00 / $40,521.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,146.49 / $32,244.46 / $32,244.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,019.88 / $26,800.74 / $45,256.70
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
$19,019.88 / $26,800.74 / $49,215.38