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South Dakota rates for MS-DRG 494

Lower Extremity And Humerus Procedures Except Hip, Foot And Femur Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,213.40 / $28,213.40 / $28,213.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,686.25 / $22,450.73 / $22,450.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,242.90 / $18,660.45 / $32,198.86
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
$13,242.90 / $18,660.45 / $34,267.01