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South Dakota rates for MS-DRG 254

Other vascular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,052.50 / $25,052.50 / $25,052.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,256.61 / $19,935.43 / $19,935.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,759.22 / $16,569.81 / $29,876.25
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
$11,759.22 / $16,569.81 / $30,427.87