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South Dakota rates for MS-DRG 262

Cardiac Pacemaker Revision Except Device Replacement Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,918.00 / $22,918.00 / $22,918.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,615.96 / $18,236.95 / $18,236.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,757.34 / $15,158.07 / $25,920.99
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
$10,757.34 / $15,158.07 / $27,835.43