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South Dakota rates for MS-DRG 839

Chemo w acute leukemia as sdx w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,302.70 / $20,302.70 / $20,302.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,605.67 / $16,155.80 / $16,155.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,529.74 / $13,428.27 / $23,403.69
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
$10,559.24 / $15,095.97 / $24,708.02