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South Dakota rates for MS-DRG 390

Gastrointestinal Obstruction Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,649.18 / $7,649.18 / $7,649.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,879.55 / $6,086.82 / $6,086.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,590.40 / $5,059.20 / $9,345.08
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
$3,590.40 / $5,059.20 / $9,290.43