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South Dakota rates for MS-DRG 842

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,207.20 / $14,207.20 / $14,207.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,920.40 / $11,305.37 / $11,305.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,668.64 / $9,396.71 / $17,964.34
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
$6,668.64 / $9,396.71 / $17,255.61