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South Dakota rates for MS-DRG 256

Upper Limb And Toe Amputation For Circulatory System Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,782.79 / $17,782.79 / $23,988.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $19,054.61 / $19,054.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,220.18 / $15,848.93 / $28,840.32
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $17,378.01 / $28,840.32