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South Dakota rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,555.19 / $33,555.19 / $33,555.19
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,792.21 / $26,701.43 / $26,701.43
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,750.24 / $22,193.52 / $40,585.87
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
$15,750.24 / $22,193.52 / $40,754.94