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South Dakota rates for MS-DRG 872

Septicemia Or Severe Sepsis Without Mv >96 Hours Without Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,388.60 / $14,388.60 / $14,388.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,059.83 / $11,449.70 / $11,449.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,753.78 / $9,516.69 / $17,607.41
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
$7,483.39 / $10,698.60 / $17,510.71