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Pennsylvania 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 / $34,673.69 / $48,977.88
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $39,810.72 / $54,954.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,054.61 / $31,622.78 / $45,708.82
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $36,307.81 / $44,668.36
Geisinger
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,135.61 / $34,673.69 / $42,657.95
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $33,113.11 / $50,118.72
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,620.87 / $33,884.42 / $47,863.01
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,125.38 / $16,218.10 / $27,542.29
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,370.32 / $24,547.09 / $43,651.58