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South Dakota rates for MS-DRG 416

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,169.40 / $19,169.40 / $19,169.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,734.55 / $15,253.96 / $15,253.96
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,997.78 / $12,678.69 / $23,400.28
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
$8,997.78 / $12,678.69 / $23,282.44