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South Dakota rates for MS-DRG 621

O.R. Procedures For Obesity Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,209.60 / $21,209.60 / $21,209.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,302.79 / $16,877.49 / $16,877.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,955.44 / $14,028.12 / $24,964.62
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
$11,030.93 / $15,536.52 / $25,811.74