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South Dakota rates for MS-DRG 419

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,204.50 / $19,204.50 / $19,204.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,761.57 / $15,281.94 / $15,281.94
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,014.28 / $12,701.94 / $22,501.97
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
$9,014.28 / $12,701.94 / $23,325.13