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South Dakota rates for MS-DRG 113

Orbital Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $25,118.86 / $33,113.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $26,915.35 / $26,915.35
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,488.17 / $21,877.62 / $38,904.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,378.01 / $23,988.33 / $39,810.72