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South Dakota rates for MS-DRG 377

Gastrointestinal Hemorrhage With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.50 / $25,703.50 / $25,703.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,757.02 / $20,453.49 / $20,453.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,064.80 / $17,000.40 / $31,051.22
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
$13,368.16 / $18,828.40 / $31,280.74