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South Dakota rates for MS-DRG 557

Tendonitis, Myositis And Bursitis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,907.30 / $20,907.30 / $20,907.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,070.42 / $16,636.91 / $16,636.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,813.54 / $13,828.17 / $26,465.78
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
$9,813.54 / $13,828.17 / $25,393.28