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South Dakota rates for MS-DRG 201

Pneumothorax Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,055.00 / $10,055.00 / $10,055.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,728.80 / $8,001.25 / $8,001.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,719.66 / $6,650.43 / $11,563.51
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
$4,719.66 / $6,650.43 / $12,212.48