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South Dakota rates for MS-DRG 792

Prematurity Without Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,438.19 / $34,438.19 / $34,438.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,470.95 / $27,404.10 / $27,404.10
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.00 / $16,164.72 / $41,835.98
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 / $16,164.72 / $41,827.44