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South Dakota rates for MS-DRG 489

Knee procedures w/o pdx of infection w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,703.30 / $15,703.30 / $15,703.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,070.37 / $12,495.88 / $12,495.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,370.88 / $10,386.24 / $20,259.87
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
$7,370.88 / $10,386.24 / $19,072.71