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South Dakota rates for MS-DRG 538

Sprains, strains, & dislocations of hip, pelvis & thigh w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,128.10 / $10,128.10 / $10,128.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,785.00 / $8,059.44 / $8,059.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,753.97 / $6,698.79 / $11,467.88
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,753.97 / $6,698.79 / $12,301.28