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South Dakota rates for MS-DRG 042

Hepatobiliary Diagnostic Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,293.20 / $24,293.20 / $24,293.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,672.98 / $19,331.24 / $19,331.24
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,402.82 / $16,067.61 / $30,016.29
Sanford Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,450.00 / $1,450.00 / $1,450.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,402.82 / $16,067.61 / $29,505.66