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South Dakota rates for MS-DRG 067

Precerebral Occlusion Without Infarction With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,651.40 / $20,651.40 / $20,651.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,873.71 / $16,433.28 / $16,433.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,693.42 / $13,658.91 / $24,846.78
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
$9,693.42 / $13,658.91 / $25,082.46