go back

South Dakota rates for MS-DRG 617

Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,298.30 / $26,298.30 / $26,298.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,214.20 / $20,926.79 / $20,926.79
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,343.98 / $17,393.79 / $32,987.86
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
$12,343.98 / $17,393.79 / $31,940.98