go back

South Dakota rates for MS-DRG 380

Complicated Peptic Ulcer With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,590.50 / $27,590.50 / $27,590.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,207.46 / $21,955.06 / $21,955.06
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,950.52 / $18,248.46 / $32,863.19
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
$12,950.52 / $18,248.46 / $33,510.44