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South Dakota rates for MS-DRG 024

Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55,005.20 / $55,005.20 / $55,005.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,279.82 / $43,770.25 / $43,770.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,818.54 / $36,380.67 / $64,925.43
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
$28,607.72 / $40,292.57 / $66,940.42