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South Dakota rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,037.30 / $24,037.30 / $24,037.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,476.28 / $19,127.59 / $19,127.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,282.70 / $15,898.35 / $31,012.04
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$950.00 / $950.00 / $950.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,282.70 / $15,898.35 / $29,194.84