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Texas 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
$4,804.00 / $28,489.00 / $46,852.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $29,749.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,744.68 / $28,791.20 / $54,478.21
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,583.90 / $61,518.91 / $61,518.91
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56,736.59 / $56,736.59 / $56,736.59
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,248.96 / $25,833.75 / $59,585.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $23,147.04 / $52,919.92