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South Dakota rates for MS-DRG 382

Complicated peptic ulcer w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,257.20 / $11,257.20 / $11,257.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,652.87 / $8,957.91 / $8,957.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,283.96 / $7,445.58 / $12,796.55
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
$5,283.96 / $7,445.58 / $13,672.65