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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
$22,908.68 / $38,904.51 / $41,686.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,703.96 / $38,904.51 / $53,703.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,877.62 / $33,113.11 / $45,708.82
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,892.96 / $28,840.32 / $41,686.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,073.80 / $37,153.52 / $56,234.13