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South Dakota rates for MS-DRG 464

Wnd debrid & skn grft exc hand, for musculo-conn tiss dis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,795.80 / $43,795.80 / $43,795.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,663.68 / $34,850.37 / $34,850.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,557.02 / $28,966.71 / $50,356.19
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
$20,557.02 / $28,966.71 / $53,192.85