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South Dakota rates for MS-DRG 664

Minor bladder procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,720.50 / $14,720.50 / $14,720.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,314.90 / $11,713.76 / $11,713.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,909.54 / $9,736.17 / $18,440.82
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
$6,909.54 / $9,736.17 / $17,878.96