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South Dakota rates for MS-DRG 391

Esophagitis, gastroent & misc digest disorders w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,833.59 / $17,833.59 / $17,833.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,707.79 / $14,191.01 / $14,191.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,370.78 / $11,795.19 / $21,936.69
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
$8,370.78 / $11,795.19 / $21,660.03