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South Dakota rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,660.10 / $35,660.10 / $35,660.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,410.17 / $28,376.42 / $28,376.42
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,738.25 / $23,585.73 / $41,004.28
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
$16,738.25 / $23,585.73 / $43,311.52