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South Dakota rates for MS-DRG 902

Wound debridements for injuries w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,417.38 / $20,417.38 / $26,915.35
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $21,877.62 / $21,877.62
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,589.25 / $17,782.79 / $32,359.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $19,498.45 / $32,359.37