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Pennsylvania rates for MS-DRG 412

Cholecystectomy With C.D.E. With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,839.20 / $34,661.80 / $50,094.20
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,367.33 / $28,367.33 / $28,367.33
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,052.00 / $42,470.59 / $60,260.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,336.00 / $30,818.45 / $45,564.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,645.00 / $34,645.00 / $42,068.92
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,621.75 / $36,621.75 / $55,952.76
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,960.30 / $34,373.80 / $50,043.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,314.09 / $28,383.75 / $44,934.13
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $16,529.66 / $23,690.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,778.73 / $26,502.01 / $48,071.56