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South Dakota rates for MS-DRG 087

Traumatic stupor & coma, coma <1 hr w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,861.60 / $12,861.60 / $12,861.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,886.08 / $10,234.58 / $10,234.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,037.02 / $8,506.70 / $15,096.95
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
$6,037.02 / $8,506.70 / $15,621.25