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South Dakota rates for MS-DRG 674

Other kidney & urinary tract procedures w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,883.10 / $32,883.10 / $32,883.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,275.59 / $26,166.60 / $26,166.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,434.76 / $21,748.98 / $39,422.86
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
$15,434.76 / $21,748.98 / $39,938.61