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South Dakota rates for MS-DRG 823

Lymphoma and non-acute leukemia with other procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,466.90 / $64,466.90 / $64,466.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,552.52 / $51,299.33 / $51,299.33
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,259.68 / $42,638.64 / $79,916.50
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
$30,259.68 / $42,638.64 / $78,299.21