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South Dakota rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,571.60 / $83,571.60 / $83,571.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,237.35 / $66,501.82 / $66,501.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,000.00 / $39,227.10 / $101,525.29
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
$2,000.00 / $43,981.90 / $101,503.09