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South Dakota rates for MS-DRG 905

Skin Grafts For Injuries Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,858.09 / $20,858.09 / $20,858.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,032.59 / $16,597.75 / $16,597.75
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,790.44 / $13,795.62 / $26,910.36
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
$9,790.44 / $13,795.62 / $25,333.51