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South Dakota rates for MS-DRG 139

Salivary gland procedures

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,375.20 / $17,375.20 / $17,375.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,355.45 / $13,826.25 / $13,826.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,155.62 / $11,492.01 / $22,416.83
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
$8,155.62 / $11,492.01 / $21,103.28