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Pennsylvania 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
$32,608.50 / $58,244.90 / $79,538.60
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,946.00 / $63,534.08 / $88,633.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,318.68 / $49,163.88 / $75,099.61
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58,704.52 / $58,704.52 / $71,284.06
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,236.53 / $62,913.23 / $111,588.49
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,127.50 / $58,244.90 / $79,538.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,026.60 / $47,692.53 / $74,276.64
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $26,799.63 / $38,940.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,130.00 / $45,515.78 / $74,903.67