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South Dakota rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,254.80 / $15,254.80 / $15,254.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,725.60 / $12,138.95 / $12,138.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,160.34 / $10,089.57 / $18,420.33
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
$7,160.34 / $10,089.57 / $18,527.91