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South Dakota rates for MS-DRG 103

Heart Transpl Or Impl Heart Assist Sys

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,759.20 / $11,759.20 / $11,759.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,038.73 / $9,357.36 / $9,357.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,519.58 / $7,777.59 / $14,519.72
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
$6,115.86 / $8,743.52 / $14,310.77