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South Carolina rates for MS-DRG 415

Cholecystectomy Except By Laparoscope Without C.D.E. With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,420.30 / $36,022.60 / $36,022.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,698.75 / $30,467.40 / $54,744.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,481.56 / $39,662.04 / $62,331.67
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,062.04 / $53,816.87 / $69,486.59