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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
$42,657.95 / $42,657.95 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,668.36 / $45,708.82 / $45,708.82
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $38,018.94 / $69,183.10
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,512.09 / $41,686.94 / $69,183.10