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South Dakota rates for MS-DRG 689

Kidney & urinary tract infections w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,315.00 / $16,315.00 / $16,315.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,540.52 / $12,982.60 / $12,982.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,657.98 / $10,790.79 / $19,986.38
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
$7,657.98 / $10,790.79 / $19,815.59