go back

South Dakota rates for MS-DRG 794

Neonate With Other Significant Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,752.59 / $20,752.59 / $20,752.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,951.53 / $16,513.84 / $16,513.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$820.00 / $9,740.94 / $25,210.54
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 / $9,740.94 / $25,205.42