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South Dakota rates for MS-DRG 200

Hepatobil Diagnostic Proc For Non-Malig

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,457.30 / $15,457.30 / $15,457.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,881.23 / $12,300.07 / $12,300.07
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,255.38 / $10,223.49 / $18,913.89
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
$7,255.38 / $10,223.49 / $18,773.84