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South Dakota rates for MS-DRG 846

Chemotherapy Without Acute Leukemia As Secondary Diagnosis With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,453.10 / $36,453.10 / $36,453.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,019.74 / $29,007.48 / $29,007.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,110.50 / $24,110.25 / $43,613.80
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
$17,110.50 / $24,110.25 / $44,274.72