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South Dakota rates for MS-DRG 917

Poisoning & toxic effects of drugs w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,053.30 / $22,053.30 / $22,053.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,951.27 / $17,548.83 / $17,548.83
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,351.44 / $14,586.12 / $28,002.80
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
$10,351.44 / $14,586.12 / $26,785.14