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South Dakota rates for MS-DRG 434

Cirrhosis & alcoholic hepatitis w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,018.50 / $10,018.50 / $10,018.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,700.70 / $7,972.16 / $7,972.16
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,702.50 / $6,626.25 / $11,894.83
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
$4,702.50 / $6,626.25 / $12,168.08