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South Dakota rates for MS-DRG 116

Intraocular Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,423.70 / $25,423.70 / $25,423.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,541.93 / $20,230.83 / $20,230.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,933.46 / $16,815.33 / $28,496.35
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
$11,933.46 / $16,815.33 / $30,878.73