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South Dakota rates for MS-DRG 884

Organic disturbances & intellectual disability

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,622.70 / $22,622.70 / $22,622.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,388.99 / $18,001.98 / $18,001.98
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,618.74 / $14,962.77 / $28,523.68
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
$10,618.74 / $14,962.77 / $27,476.79