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South Dakota rates for MS-DRG 825

Lymphoma & non-acute leukemia w other proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,973.90 / $18,973.90 / $18,973.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,584.32 / $15,098.44 / $15,098.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,906.04 / $12,549.42 / $21,019.60
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
$8,906.04 / $12,549.42 / $23,045.05