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South Dakota rates for MS-DRG 903

Wound Debridements For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,445.70 / $16,445.70 / $16,445.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,641.04 / $13,086.65 / $13,086.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,719.36 / $10,877.28 / $20,819.79
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
$7,719.36 / $10,877.28 / $19,974.43