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South Dakota rates for MS-DRG 865

Viral illness with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,067.60 / $21,067.60 / $21,067.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,193.63 / $16,764.48 / $16,764.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,888.78 / $13,934.19 / $25,205.42
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
$10,957.07 / $15,664.73 / $25,638.91