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South Dakota rates for MS-DRG 123

Neurological eye disorders

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,229.10 / $11,229.10 / $11,229.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,631.27 / $8,935.54 / $8,935.54
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,270.76 / $7,426.98 / $13,717.05
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
$5,270.76 / $7,426.98 / $13,638.49