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South Dakota rates for MS-DRG 337

Peritoneal Adhesiolysis Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,583.60 / $21,583.60 / $21,583.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,590.28 / $17,175.12 / $17,175.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,131.00 / $14,275.50 / $26,216.44
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
$10,131.00 / $14,275.50 / $26,214.73