go back

South Dakota rates for MS-DRG 100

Seizures With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,233.30 / $27,233.30 / $27,233.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,932.93 / $21,670.86 / $21,670.86
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,782.88 / $18,012.24 / $33,904.94
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
$12,782.88 / $18,012.24 / $33,076.67