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South Dakota rates for MS-DRG 384

Uncomplicated peptic ulcer w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,019.30 / $12,019.30 / $12,019.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,238.68 / $9,564.36 / $9,564.36
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,641.68 / $7,949.64 / $14,851.03
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
$5,641.68 / $7,949.64 / $14,598.27