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South Dakota rates for MS-DRG 025

Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63,931.10 / $63,931.10 / $63,931.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,140.73 / $50,873.03 / $50,873.03
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,008.22 / $42,284.31 / $76,377.94
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
$30,008.22 / $42,284.31 / $77,648.53