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South Dakota rates for MS-DRG 057

Skin Debridement with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,217.40 / $18,217.40 / $18,217.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,002.84 / $14,496.47 / $14,496.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,550.95 / $12,049.08 / $22,788.88
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,550.95 / $12,049.08 / $22,126.26