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South Dakota rates for MS-DRG 240

Amputation For Circulatory System Disorders Except Upper Limb And Toe With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,080.90 / $40,080.90 / $40,080.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,808.20 / $31,894.24 / $31,894.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,813.30 / $26,509.65 / $49,734.55
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
$18,813.30 / $26,509.65 / $48,680.84