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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
$21,877.62 / $21,877.62 / $28,840.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $23,442.29 / $23,442.29
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,489.63 / $19,054.61 / $33,884.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $21,379.62 / $35,481.34