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South Dakota rates for MS-DRG 667

Prostatectomy w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,554.30 / $15,554.30 / $15,554.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,955.81 / $12,377.27 / $12,377.27
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,300.92 / $10,287.66 / $17,552.77
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
$7,300.92 / $10,287.66 / $18,891.68