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South Dakota rates for MS-DRG 915

Allergic Reactions With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,645.00 / $23,645.00 / $23,645.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,174.73 / $18,815.41 / $18,815.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,098.56 / $15,638.88 / $29,679.86
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
$11,098.56 / $15,638.88 / $28,718.36