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South Dakota rates for MS-DRG 475

Amputation For Musculoskeletal System And Connective Tissue Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,998.60 / $31,998.60 / $31,998.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,595.77 / $25,462.81 / $25,462.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,019.62 / $21,164.01 / $36,842.37
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
$15,019.62 / $21,164.01 / $38,864.40