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South Dakota rates for MS-DRG 675

Other Kidney And Urinary Tract Procedures Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,079.70 / $23,079.70 / $23,079.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,740.25 / $18,365.62 / $18,365.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,833.24 / $15,265.02 / $26,732.19
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
$10,833.24 / $15,265.02 / $28,031.83