go back

South Dakota rates for MS-DRG 257

Upper limb & toe amputation for circ system disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,357.40 / $15,357.40 / $15,357.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,804.50 / $12,220.63 / $12,220.63
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,208.52 / $10,157.45 / $15,231.87
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
$7,208.52 / $10,157.45 / $18,652.59