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South Dakota rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,059.90 / $29,059.90 / $29,059.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,336.89 / $23,124.31 / $23,124.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,640.22 / $19,220.31 / $33,781.99
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
$13,640.22 / $19,220.31 / $35,295.10