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South Dakota rates for MS-DRG 803

Other O.R. Procedures Of The Blood And Blood Forming Organs With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,138.00 / $26,138.00 / $26,138.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,090.99 / $20,799.23 / $20,799.23
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,268.74 / $17,287.77 / $30,398.84
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,268.74 / $17,287.77 / $31,746.29