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Alaska rates for MS-DRG 409

Biliary tract procedures except only cholecystectomy with or without C.D.E. with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,957.90 / $57,313.10 / $116,445.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87,605.84 / $87,605.84 / $93,079.58
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $33,857.01 / $51,426.43
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $32,597.46 / $93,079.58