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South Dakota rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,981.00 / $50,981.00 / $50,981.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,186.57 / $40,567.96 / $40,567.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,929.62 / $33,719.01 / $60,124.81
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
$23,929.62 / $33,719.01 / $61,919.70