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South Dakota rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,340.70 / $25,340.70 / $25,340.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,478.18 / $20,164.82 / $20,164.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.00 / $11,894.52 / $30,784.80
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
$820.00 / $11,894.52 / $30,777.97