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South Dakota rates for MS-DRG 696

Kidney and urinary tract signs and symptoms without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,688.03 / $9,688.03 / $9,688.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,446.71 / $7,709.22 / $7,709.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,547.39 / $6,407.70 / $11,814.56
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
$4,547.39 / $6,407.70 / $11,766.74