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South Dakota rates for MS-DRG 476

Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,594.80 / $16,594.80 / $16,594.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,755.60 / $13,205.26 / $13,205.26
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,789.32 / $10,975.86 / $19,863.41
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
$7,789.32 / $10,975.86 / $20,155.46