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Alaska rates for MS-DRG 415

Cholecystectomy except by laparoscope w/o c.d.e. w CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,436.10 / $54,401.70 / $110,530.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,155.74 / $83,155.74 / $88,351.43
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $32,137.19 / $48,524.30
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,500.00 / $30,757.90 / $88,351.43