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South Dakota rates for MS-DRG 125

Other disorders of the eye w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,796.00 / $10,796.00 / $10,796.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,298.37 / $8,590.91 / $8,590.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,067.47 / $7,140.54 / $13,928.66
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
$5,067.47 / $7,140.54 / $13,112.49