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South Dakota rates for MS-DRG 189

Pulmonary Edema And Respiratory Failure

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,371.00 / $17,371.00 / $17,371.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,352.20 / $13,822.89 / $13,822.89
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,153.64 / $11,489.22 / $21,132.32
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
$8,153.64 / $11,489.22 / $21,098.16