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South Dakota rates for MS-DRG 504

Foot Procedures With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,282.80 / $26,282.80 / $26,282.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,202.31 / $20,914.48 / $20,914.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,336.72 / $17,383.56 / $29,971.89
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
$12,336.72 / $17,383.56 / $31,922.20