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South Dakota rates for MS-DRG 412

Cholecystectomy With C.D.E. With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,563.30 / $29,563.30 / $29,563.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,723.82 / $23,524.87 / $23,524.87
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,876.50 / $19,553.25 / $36,403.46
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
$13,876.50 / $19,553.25 / $35,906.50