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Arkansas 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
$14,810.00 / $19,088.00 / $38,792.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,084.38 / $20,084.38 / $20,084.38
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,028.18 / $17,584.62 / $20,103.77
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,821.52 / $20,925.34 / $27,214.31
Qualchoice
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,097.04 / $23,097.04 / $23,097.04
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,518.00 / $19,117.00 / $26,730.70