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South Dakota rates for MS-DRG 002

Intracranial Vascular Procedures with Principal Diagnosis of Hemorrhage with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159,336.00 / $159,336.00 / $159,336.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$122,474.09 / $126,791.51 / $126,791.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,789.88 / $105,385.74 / $188,194.44
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
$74,789.88 / $105,385.74 / $193,524.48