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South Dakota rates for MS-DRG 402

Lymphoma&Nonacu Leuk Oth O.R Proc Wo Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,532.30 / $56,532.30 / $56,532.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142,136.74 / $142,136.74 / $142,136.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,535.30 / $37,390.65 / $66,812.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,535.30 / $37,390.65 / $68,662.10