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South Dakota rates for MS-DRG 964

Other Multiple Significant Trauma With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,549.90 / $21,549.90 / $21,549.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,564.34 / $17,148.25 / $17,148.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,115.16 / $14,253.18 / $25,618.71
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
$10,115.16 / $14,253.18 / $26,173.74