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South Dakota rates for MS-DRG 136

Sinus & mastoid procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,276.10 / $14,276.10 / $14,276.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,973.36 / $11,360.19 / $11,360.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,700.98 / $9,442.29 / $16,705.70
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
$6,700.98 / $9,442.29 / $17,339.29