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South Dakota rates for MS-DRG 642

Inborn And Other Disorders Of Metabolism

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,996.09 / $19,996.09 / $19,996.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,370.06 / $15,911.88 / $15,911.88
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,385.86 / $13,225.53 / $21,195.51
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
$9,385.86 / $13,225.53 / $24,286.62