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South Dakota rates for MS-DRG 841

Lymphoma & non-acute leukemia w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,939.10 / $22,939.10 / $22,939.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,632.16 / $18,253.73 / $18,253.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,767.24 / $15,172.02 / $26,778.30
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
$10,767.24 / $15,172.02 / $27,861.05