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South Dakota rates for MS-DRG 150

Epistaxis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,722.20 / $18,722.20 / $18,722.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,390.85 / $14,898.15 / $14,898.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,787.90 / $12,382.95 / $23,605.21
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
$8,787.90 / $12,382.95 / $22,739.36