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South Dakota rates for MS-DRG 847

Chemotherapy w/o acute leukemia as secondary diagnosis w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,394.59 / $18,394.59 / $18,394.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,139.03 / $14,637.45 / $14,637.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,634.12 / $12,166.26 / $21,701.01
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
$8,634.12 / $12,166.26 / $22,341.44