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South Dakota rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,058.80 / $33,058.80 / $33,058.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,410.69 / $26,306.46 / $26,306.46
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,517.26 / $21,865.23 / $38,538.21
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
$15,517.26 / $21,865.23 / $40,152.08