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South Dakota rates for MS-DRG 408

Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,135.90 / $50,135.90 / $50,135.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,537.00 / $39,895.50 / $39,895.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,532.96 / $33,160.08 / $59,795.20
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
$23,532.96 / $33,160.08 / $60,893.32