go back

South Dakota rates for MS-DRG 558

Tendonitis, Myositis And Bursitis Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,559.30 / $12,559.30 / $12,559.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,653.70 / $9,994.01 / $9,994.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,895.12 / $8,306.76 / $14,751.98
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
$5,895.12 / $8,306.76 / $15,254.07