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South Dakota rates for MS-DRG 323

Coronary intravascular lithotripsy w intraluminal device w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60,847.60 / $60,847.60 / $60,847.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,770.54 / $48,419.28 / $48,419.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,560.84 / $40,244.82 / $72,742.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,560.84 / $40,244.82 / $73,903.34