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South Dakota rates for MS-DRG 089

Alcohol, Drug Abuse or Dependence, Left Against Medical Advice

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,447.40 / $15,447.40 / $15,447.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,873.67 / $12,292.24 / $12,292.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,250.76 / $10,216.98 / $18,309.32
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
$7,250.76 / $10,216.98 / $18,761.89