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Vermont rates for MS-DRG 414

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

Insurance Carrier
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40,175.44 / $75,983.13 / $100,675.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,740.51 / $56,356.77 / $98,452.45
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,740.51 / $56,356.77 / $98,452.45
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$126,254.98 / $126,254.98 / $126,254.98