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South Dakota rates for MS-DRG 159

Dental And Oral Diseases Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,962.21 / $9,962.21 / $9,962.21
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,657.47 / $7,927.41 / $7,927.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,676.10 / $6,589.05 / $11,264.65
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
$4,676.10 / $6,589.05 / $12,099.76