go back

South Dakota rates for MS-DRG 496

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,364.60 / $25,364.60 / $25,364.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,496.55 / $20,183.84 / $20,183.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,905.74 / $16,776.27 / $32,724.55
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
$11,905.74 / $16,776.27 / $30,807.00