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South Dakota rates for MS-DRG 963

Other Multiple Significant Trauma With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,440.00 / $38,440.00 / $38,440.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,546.91 / $30,588.49 / $30,588.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,043.08 / $25,424.34 / $46,395.80
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
$18,043.08 / $25,424.34 / $46,687.84