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Idaho 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
$18,187.00 / $18,187.00 / $18,187.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,736.55 / $72,365.50 / $75,599.89
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,176.04 / $40,964.46 / $42,434.27
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,764.00 / $24,938.55 / $41,306.07
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,121.67 / $26,867.10 / $38,889.08