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South Dakota rates for MS-DRG 876

O.R. procedure w principal diagnoses of mental illness

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,344.40 / $54,344.40 / $54,344.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,771.83 / $43,244.37 / $43,244.37
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,508.34 / $35,943.57 / $67,109.71
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,508.34 / $35,943.57 / $66,004.75