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South Dakota rates for MS-DRG 921

Complications Of Treatment Without Cc/Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,679.59 / $9,679.59 / $9,679.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,440.23 / $7,702.51 / $7,702.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,543.43 / $6,402.12 / $11,744.54
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
$4,543.43 / $6,402.12 / $11,756.50