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South Dakota rates for MS-DRG 623

Skin Grafts And Wound Debridement For Endocrine, Nutritional And Metabolic Disorders With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,224.00 / $25,224.00 / $25,224.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,388.47 / $20,071.95 / $20,071.95
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,839.74 / $16,683.27 / $32,543.14
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
$13,118.79 / $18,755.22 / $30,697.22