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South Dakota rates for MS-DRG 583

Mastectomy for malignancy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,246.80 / $24,246.80 / $24,246.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,637.32 / $19,294.31 / $19,294.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,381.04 / $16,036.92 / $28,054.03
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
$11,381.04 / $16,036.92 / $29,449.30