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South Dakota rates for MS-DRG 152

Otitis media and URI with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,622.90 / $16,622.90 / $16,622.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,777.22 / $13,227.64 / $13,227.64
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,802.52 / $10,994.46 / $19,380.11
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
$7,802.52 / $10,994.46 / $20,189.61