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South Dakota rates for MS-DRG 576

Skin Graft Except For Skin Ulcer Or Cellulitis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,915.80 / $68,915.80 / $68,915.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,972.17 / $54,839.53 / $54,839.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,347.92 / $45,581.16 / $88,912.67
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
$32,347.92 / $45,581.16 / $83,702.69