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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
$19,498.45 / $22,387.21 / $28,840.32
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $16,595.87 / $16,595.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,000.00 / $22,908.68 / $39,810.72
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $151,356.12 / $151,356.12
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $26,915.35 / $38,904.51
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,302.69 / $24,547.09 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,791.08 / $22,908.68 / $35,481.34