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South Dakota rates for MS-DRG 081

Nontraumatic stupor & coma w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,593.00 / $12,593.00 / $12,593.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,679.64 / $10,020.87 / $10,020.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,910.96 / $8,329.08 / $15,452.17
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
$5,910.96 / $8,329.08 / $15,295.06