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South Dakota rates for MS-DRG 976

HIV w major related condition w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,692.90 / $12,692.90 / $12,692.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,756.37 / $10,100.31 / $10,100.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,957.82 / $8,395.11 / $16,375.88
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
$6,601.45 / $9,437.73 / $15,447.00