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South Dakota rates for MS-DRG 381

Complicated peptic ulcer w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,235.10 / $15,235.10 / $15,235.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,710.47 / $12,123.28 / $12,123.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,151.10 / $10,076.54 / $18,599.65
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
$7,151.10 / $10,076.54 / $18,504.00