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South Dakota rates for MS-DRG 622

Skin grafts & wound debrid for endoc, nutrit & metab dis w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,045.90 / $50,045.90 / $50,045.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,467.83 / $39,823.89 / $39,823.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,490.72 / $33,100.56 / $63,905.88
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
$23,490.72 / $33,100.56 / $60,784.02