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South Dakota rates for MS-DRG 628

Other endocrine, nutrit & metab O.R. proc w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52,402.50 / $52,402.50 / $52,402.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,279.25 / $41,699.17 / $41,699.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,596.88 / $34,659.24 / $67,384.66
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
$24,596.88 / $34,659.24 / $63,646.29