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South Dakota rates for MS-DRG 578

Skin graft exc for skin ulcer or cellulitis w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,587.60 / $22,587.60 / $22,587.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,361.97 / $17,974.00 / $17,974.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,602.24 / $14,939.52 / $28,868.65
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
$10,602.24 / $14,939.52 / $27,434.10