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South Dakota rates for MS-DRG 814

Reticuloendothelial & immunity disorders w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,903.50 / $29,903.50 / $29,903.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,985.37 / $23,795.65 / $23,795.65
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,036.22 / $19,778.31 / $35,701.56
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
$14,036.22 / $19,778.31 / $36,319.78