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South Dakota rates for MS-DRG 122

Circ Disor W Ami Wo Maj Comp Disch Alive

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,049.10 / $11,049.10 / $11,049.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,492.93 / $8,792.32 / $8,792.32
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,186.28 / $7,307.94 / $11,584.01
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
$5,186.28 / $7,307.94 / $13,419.89