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South Dakota rates for MS-DRG 090

Concussion Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,575.00 / $11,575.00 / $11,575.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,897.15 / $9,210.78 / $9,210.78
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,433.12 / $7,655.76 / $14,640.97
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
$5,433.12 / $7,655.76 / $14,058.61