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Arizona 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
$27,542.29 / $40,738.03 / $58,884.37
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,182.57 / $35,481.34 / $60,255.96
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,547.09 / $33,884.42 / $57,543.99
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $37,153.52 / $54,954.09
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $36,307.81 / $53,703.18