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South Dakota rates for MS-DRG 336

Peritoneal Adhesiolysis With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,650.40 / $29,650.40 / $29,650.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,790.83 / $23,594.24 / $23,594.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,917.42 / $19,610.91 / $36,073.86
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
$13,917.42 / $19,610.91 / $36,012.37