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South Dakota rates for MS-DRG 573

Skin Graft For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$92,119.20 / $92,119.20 / $92,119.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70,807.53 / $73,303.61 / $73,303.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,239.24 / $60,928.02 / $105,169.74
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
$43,239.24 / $60,928.02 / $111,884.81