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Illinois 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
$33,113.11 / $45,708.82 / $69,183.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,118.86 / $40,738.03 / $58,884.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,840.32 / $40,738.03 / $70,794.58
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$190.55 / $446.68 / $676.08
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,183.83 / $43,651.58 / $64,565.42