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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
$38,018.94 / $56,234.13 / $117,489.76
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,176.38 / $83,176.38 / $89,125.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,904.51 / $38,904.51 / $38,904.51
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $32,359.37 / $48,977.88
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,176.38 / $83,176.38 / $89,125.09