go back

South Dakota rates for MS-DRG 965

Other multiple significant trauma w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,224.40 / $13,224.40 / $13,224.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,164.92 / $10,523.25 / $10,523.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,207.30 / $8,746.65 / $15,585.38
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
$6,207.30 / $8,746.65 / $16,061.86