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South Dakota rates for MS-DRG 239

Amputation for circ sys disorders exc upper limb & toe w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,480.75 / $52,480.75 / $69,183.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,703.18 / $56,234.13 / $56,234.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,359.37 / $45,708.82 / $85,113.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $50,118.72 / $83,176.38