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South Dakota rates for MS-DRG 402

Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,657.95 / $42,657.95 / $56,234.13
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141,253.75 / $141,253.75 / $141,253.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,302.68 / $37,153.52 / $66,069.34
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $41,686.94 / $69,183.10