go back

South Dakota rates for MS-DRG 422

Hepatobiliary diagnostic procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,678.40 / $19,678.40 / $19,678.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,125.80 / $15,659.01 / $15,659.01
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,236.70 / $13,015.35 / $25,094.41
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
$9,236.70 / $13,015.35 / $23,900.66