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South Dakota rates for MS-DRG 296

Cardiac Arrest, Unexplained With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,961.90 / $21,961.90 / $21,961.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,881.02 / $17,476.09 / $17,476.09
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,308.54 / $14,525.67 / $27,980.60
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
$10,308.54 / $14,525.67 / $26,674.13