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Missouri 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
$18,020.02 / $24,106.00 / $40,021.60
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,476.20 / $11,476.20 / $19,578.15
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,757.68 / $21,060.83 / $34,913.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,778.59 / $25,711.81 / $36,970.44
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,422.93 / $24,699.13 / $61,518.91
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,422.93 / $24,645.40 / $34,637.89