go back

South Dakota rates for MS-DRG 658

Kidney And Ureter Procedures For Neoplasm Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,819.90 / $21,819.90 / $21,819.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,771.84 / $17,363.09 / $17,363.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,241.87 / $14,431.74 / $25,685.31
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
$11,348.31 / $16,224.07 / $26,554.40