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South Dakota rates for MS-DRG 157

Dental & Oral Diseases w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,139.90 / $24,139.90 / $24,139.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,555.16 / $19,209.28 / $19,209.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,330.88 / $15,966.24 / $27,965.23
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
$11,330.88 / $15,966.24 / $29,319.51