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South Dakota rates for MS-DRG 301

Peripheral vascular disorders w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,119.70 / $10,119.70 / $10,119.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,778.52 / $8,052.72 / $8,052.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,750.02 / $6,693.21 / $12,183.45
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,750.02 / $6,693.21 / $12,291.04