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South Dakota rates for MS-DRG 325

Coronary intravascular lithotripsy w/o intraluminal device

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,141.40 / $45,141.40 / $45,141.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,698.00 / $35,921.17 / $35,921.17
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,188.64 / $29,856.72 / $48,878.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,188.64 / $29,856.72 / $54,827.21