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South Dakota rates for MS-DRG 655

Major bladder procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,761.50 / $29,761.50 / $29,761.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,876.21 / $23,682.64 / $23,682.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,969.56 / $19,684.38 / $35,476.12
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
$13,969.56 / $19,684.38 / $36,147.29