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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
$18,916.50 / $33,788.50 / $46,920.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,995.00 / $36,195.86 / $50,536.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,087.75 / $30,293.69 / $45,564.00
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,055.08 / $34,055.08 / $41,352.60
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,668.51 / $39,667.35 / $49,633.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,637.50 / $33,788.50 / $46,141.10
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,019.27 / $27,900.45 / $43,088.63
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $15,379.97 / $21,984.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,612.21 / $26,050.75 / $47,253.03