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South Dakota rates for MS-DRG 250

Percutaneous Cardiovascular Procedures Without Intraluminal Device With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,688.10 / $30,688.10 / $30,688.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,588.46 / $24,419.99 / $24,419.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,404.50 / $20,297.25 / $39,494.58
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
$14,404.50 / $20,297.25 / $37,272.74