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South Dakota rates for MS-DRG 177

Respiratory Infections And Inflammations With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,973.10 / $21,973.10 / $21,973.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,889.66 / $17,485.05 / $17,485.05
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,313.82 / $14,533.11 / $27,606.59
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
$10,313.82 / $14,533.11 / $26,687.79