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South Dakota rates for MS-DRG 750

Other female reproductive system O.R. procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,751.20 / $20,751.20 / $20,751.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,950.45 / $16,512.73 / $16,512.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,740.28 / $13,724.94 / $22,022.08
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
$9,740.28 / $13,724.94 / $25,203.71