go back

South Dakota rates for MS-DRG 894

Alcohol/drug abuse or dependence, left ama

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,674.23 / $8,674.23 / $8,674.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,667.46 / $6,902.49 / $6,902.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,071.54 / $5,737.17 / $10,658.38
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
$4,071.54 / $5,737.17 / $10,535.42