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South Dakota rates for MS-DRG 039

Extracranial procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,528.70 / $16,528.70 / $16,528.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,704.80 / $13,152.67 / $13,152.67
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,758.30 / $10,932.15 / $19,438.18
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
$7,758.30 / $10,932.15 / $20,075.18