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South Dakota rates for MS-DRG 165

Major Chest Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.60 / $26,915.60 / $26,915.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,688.66 / $21,417.98 / $21,417.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,633.72 / $17,802.06 / $31,833.39
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
$12,633.72 / $17,802.06 / $32,690.71