go back

South Dakota rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,604.09 / $18,604.09 / $18,604.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,300.06 / $14,804.17 / $14,804.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,732.45 / $12,304.83 / $22,268.00
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
$9,675.83 / $13,627.93 / $22,640.89