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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
$18,197.01 / $18,197.01 / $18,197.01
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,218.10 / $26,302.68 / $41,686.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$54,954.09 / $72,443.60 / $75,857.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,197.01 / $18,197.01 / $41,686.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,498.45 / $28,183.83 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $26,915.35 / $28,840.32