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South Dakota rates for MS-DRG 695

Kidney & urinary tract signs & symptoms w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,083.00 / $16,083.00 / $16,083.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,362.19 / $12,797.98 / $12,797.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,549.08 / $10,637.34 / $19,260.57
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
$7,549.08 / $10,637.34 / $19,533.82