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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
$20,995.90 / $20,995.90 / $20,995.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,138.51 / $16,707.41 / $16,707.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,855.12 / $13,886.76 / $23,885.29
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
$9,855.12 / $13,886.76 / $25,500.87