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South Dakota rates for MS-DRG 199

Pneumothorax With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,805.00 / $24,805.00 / $24,805.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,066.39 / $19,738.50 / $19,738.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,643.06 / $16,406.13 / $30,147.79
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
$11,643.06 / $16,406.13 / $30,127.30