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South Dakota rates for MS-DRG 414

Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,093.70 / $50,093.70 / $50,093.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,504.58 / $39,861.93 / $39,861.93
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,513.16 / $33,132.18 / $59,837.90
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
$26,053.29 / $37,246.98 / $60,963.21