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South Dakota rates for MS-DRG 616

Amputat of lower limb for endocrine, nutrit, & metabol dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,036.30 / $49,036.30 / $49,036.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,691.82 / $39,020.51 / $39,020.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,016.84 / $32,432.82 / $63,264.92
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
$23,016.84 / $32,432.82 / $59,557.82