go back

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
$23,874.20 / $23,874.20 / $23,874.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,350.90 / $18,997.80 / $18,997.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,206.14 / $15,790.47 / $28,925.01
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
$11,206.14 / $15,790.47 / $28,996.74