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South Dakota rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,811.40 / $48,811.40 / $48,811.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,518.89 / $38,841.49 / $38,841.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,911.24 / $32,284.02 / $59,173.56
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
$22,911.24 / $32,284.02 / $59,284.57