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Virginia 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
$23,130.50 / $35,822.10 / $41,894.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,047.90 / $33,376.48 / $47,076.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,359.34 / $32,959.73 / $45,576.94
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,266.00 / $29,557.00 / $42,830.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $41,381.53 / $55,075.49