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South Dakota rates for MS-DRG 572

Skin debridement w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,118.10 / $16,118.10 / $16,118.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,389.21 / $12,825.95 / $12,825.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,565.58 / $10,660.59 / $19,509.91
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
$7,565.58 / $10,660.59 / $19,576.50