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South Dakota rates for MS-DRG 097

HIV with Extensive OR Procedures without MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,785.50 / $50,785.50 / $50,785.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,036.33 / $40,412.43 / $40,412.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,837.88 / $33,589.74 / $61,217.80
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
$23,837.88 / $33,589.74 / $61,682.32