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South Dakota rates for MS-DRG 399

Appendix Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,095.60 / $16,095.60 / $16,095.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,371.92 / $12,808.05 / $12,808.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,555.02 / $10,645.71 / $19,192.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,555.02 / $10,645.71 / $19,549.18