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South Dakota rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$57,073.60 / $57,073.60 / $57,073.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,869.67 / $45,416.15 / $45,416.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,400.00 / $26,789.40 / $69,334.97
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
$1,400.00 / $26,789.40 / $69,319.60