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Pennsylvania rates for MS-DRG 196

Cholecystectomy W C.D.E. W/O Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,273.50 / $30,853.80 / $42,133.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,790.00 / $30,267.15 / $46,252.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,628.00 / $27,662.58 / $39,782.18
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,097.28 / $31,097.28 / $37,760.98
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,543.08 / $31,241.51 / $64,898.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,018.80 / $29,634.70 / $41,695.80
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,376.13 / $25,477.20 / $39,716.83
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $14,678.77 / $20,941.90
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,777.37 / $23,788.16 / $43,148.94