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New York rates for MS-DRG 413

Cholecystectomy w c.d.e. w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,212.60 / $28,930.90 / $48,846.90
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,262.50 / $47,224.97 / $61,088.56
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.98 / $41,241.47 / $60,540.17
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,222.85 / $40,780.22 / $85,517.41
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.98 / $44,902.08 / $60,873.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,028.28 / $34,779.17 / $57,019.91