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South Dakota rates for MS-DRG 241

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,466.00 / $19,466.00 / $19,466.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,962.60 / $15,490.05 / $15,490.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,137.04 / $12,874.92 / $25,114.40
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
$9,137.04 / $12,874.92 / $23,642.78