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Utah 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
$29,512.09 / $38,904.51 / $44,668.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,199.52 / $42,657.95 / $56,234.13
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $33,884.42 / $51,286.14
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $19,952.62 / $33,884.42