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South Dakota rates for MS-DRG 088

Concussion w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,007.70 / $19,007.70 / $19,007.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,610.25 / $15,125.29 / $15,125.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,921.87 / $12,571.74 / $24,091.93
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
$8,921.87 / $12,571.74 / $23,086.04