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South Dakota rates for MS-DRG 901

Wound debridements for injuries with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,008.40 / $59,008.40 / $59,008.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,356.85 / $46,955.76 / $46,955.76
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,697.56 / $39,028.37 / $75,664.08
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
$27,697.56 / $39,028.37 / $71,669.53