go back

South Dakota rates for MS-DRG 734

Pelvic evisceration, rad hysterectomy & rad vulvectomy w CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,949.90 / $29,949.90 / $29,949.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,021.04 / $23,832.57 / $23,832.57
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,058.00 / $19,809.00 / $35,911.62
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
$14,058.00 / $19,809.00 / $36,376.14