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South Dakota rates for MS-DRG 086

Traumatic Stupor And Coma <1 Hour With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,317.30 / $18,317.30 / $18,317.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,079.58 / $14,575.91 / $14,575.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,597.82 / $12,115.11 / $22,399.50
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
$8,597.82 / $12,115.11 / $22,247.51