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South Dakota rates for MS-DRG 279

Ultrasound accelerated & oth thrombolysis of periph vascular w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,709.60 / $50,709.60 / $50,709.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,977.97 / $40,352.01 / $40,352.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,802.24 / $33,539.51 / $54,724.74
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,802.24 / $33,539.51 / $61,590.10