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South Dakota rates for MS-DRG 167

Other Respiratory System O.R. Procedures With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,357.60 / $25,357.60 / $25,357.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,491.15 / $20,178.24 / $20,178.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,902.44 / $16,771.62 / $31,204.92
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
$11,902.44 / $16,771.62 / $30,798.47