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South Dakota rates for MS-DRG 101

Seizures without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,691.50 / $12,691.50 / $12,691.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,755.29 / $10,099.19 / $10,099.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,957.16 / $8,394.18 / $15,740.79
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
$5,957.16 / $8,394.18 / $15,414.60