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South Dakota rates for MS-DRG 063

Ischemic stroke/precereb occl/trans isch w thrombolytic w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,738.80 / $19,738.80 / $19,738.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,172.27 / $15,707.12 / $15,707.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,265.08 / $13,055.34 / $23,991.17
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
$9,265.08 / $13,055.34 / $23,974.10