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South Dakota rates for MS-DRG 409

Biliary tract procedures except only cholecystectomy with or without C.D.E. with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,615.00 / $30,615.00 / $30,615.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,532.26 / $24,361.81 / $24,361.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,370.18 / $20,248.89 / $35,804.03
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
$14,370.18 / $20,248.89 / $37,183.93