go back

Idaho rates for MS-DRG 414

Cholecystectomy Except By Laparoscope Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,350.90 / $31,350.90 / $31,350.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$94,355.46 / $124,744.44 / $130,319.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,496.85 / $68,122.84 / $75,196.52
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $44,495.07 / $73,697.83
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,409.76 / $46,313.80 / $67,037.44