go back

South Dakota rates for MS-DRG 693

Urinary stones w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,905.00 / $18,905.00 / $18,905.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,531.36 / $15,043.61 / $15,043.61
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,873.70 / $12,503.85 / $24,390.57
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
$8,873.70 / $12,503.85 / $22,961.37