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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
$26,919.80 / $26,919.80 / $26,919.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,691.91 / $21,421.34 / $21,421.34
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,635.70 / $17,804.84 / $32,407.21
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
$12,635.70 / $17,804.84 / $32,695.83