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South Dakota rates for MS-DRG 137

Mouth Procedures With Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,848.93 / $15,848.93 / $20,892.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $16,982.44 / $16,982.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,772.37 / $13,803.84 / $23,988.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,964.78 / $15,488.17 / $25,703.96