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South Dakota rates for MS-DRG 395

Other Digestive System Diagnoses Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,125.59 / $9,125.59 / $9,125.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,014.39 / $7,261.66 / $7,261.66
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,283.39 / $6,035.70 / $10,868.44
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
$4,283.39 / $6,035.70 / $11,083.62