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South Dakota rates for MS-DRG 488

Knee procedures without principal diagnosis of infection with CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,872.50 / $24,872.50 / $24,872.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,118.27 / $19,792.22 / $19,792.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,674.74 / $16,450.77 / $32,089.61
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
$11,674.74 / $16,450.77 / $30,209.27