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South Dakota rates for MS-DRG 624

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,603.00 / $17,603.00 / $17,603.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,530.54 / $14,007.51 / $14,007.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,262.54 / $11,642.67 / $17,130.93
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
$8,262.54 / $11,642.67 / $21,379.95