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South Dakota rates for MS-DRG 604

Trauma to the skin, subcutaneous tissue and breast with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,699.20 / $20,699.20 / $20,699.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,910.46 / $16,471.33 / $16,471.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,715.86 / $13,690.53 / $25,372.78
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,715.86 / $13,690.53 / $25,140.52