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South Dakota rates for MS-DRG 474

Amputation for musculoskeletal sys & conn tissue dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,362.50 / $60,362.50 / $60,362.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,397.66 / $48,033.26 / $48,033.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,333.14 / $39,923.97 / $76,589.71
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
$28,333.14 / $39,923.97 / $73,314.14