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South Dakota rates for MS-DRG 075

Other Female Reproductive System OR Procedures without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,962.00 / $26,962.00 / $26,962.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,724.34 / $21,454.91 / $21,454.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,655.50 / $17,832.75 / $29,415.15
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
$12,655.50 / $17,832.75 / $32,747.07