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South Dakota rates for MS-DRG 492

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51,626.40 / $51,626.40 / $51,626.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,682.65 / $41,081.53 / $41,081.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,232.56 / $34,145.87 / $60,647.39
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
$24,232.56 / $34,145.87 / $62,703.58