go back

South Dakota rates for MS-DRG 840

Lymphoma and non-acute leukemia with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,485.90 / $45,485.90 / $45,485.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,962.80 / $36,195.30 / $36,195.30
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,350.34 / $30,084.57 / $54,461.74
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
$21,350.34 / $30,084.57 / $55,245.62