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South Dakota rates for MS-DRG 014

Major Head and Neck Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$168,984.00 / $168,984.00 / $168,984.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$129,889.46 / $134,468.28 / $134,468.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,318.14 / $111,766.47 / $218,016.72
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
$79,318.14 / $111,766.47 / $205,241.70