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South Dakota rates for MS-DRG 552

Medical Back Problems Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,516.80 / $13,516.80 / $13,516.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,389.73 / $10,755.99 / $10,755.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,344.58 / $8,940.09 / $16,459.78
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
$6,344.58 / $8,940.09 / $16,417.08