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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
$28,995.80 / $37,382.80 / $42,615.40
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,542.95 / $49,009.41 / $56,332.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,891.77 / $26,736.00 / $40,078.28
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $19,774.18