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South Dakota rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,153.52 / $37,153.52 / $48,977.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $38,904.51 / $38,904.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $32,359.37 / $58,884.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $35,481.34 / $58,884.37