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South Dakota rates for MS-DRG 690

Kidney & urinary tract infections w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,382.40 / $11,382.40 / $11,382.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,749.08 / $9,057.50 / $9,057.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,342.70 / $7,528.35 / $13,706.80
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
$5,342.70 / $7,528.35 / $13,824.64