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South Dakota rates for MS-DRG 155

Stomach,Esoph & Duod Proc Age >17 W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,886.90 / $12,886.90 / $12,886.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,905.53 / $10,254.71 / $10,254.71
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,048.90 / $8,523.45 / $15,944.02
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
$6,048.90 / $8,523.45 / $15,651.99