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Washington rates for MS-DRG 415

Cholecystectomy Except By Laparoscope Without C.D.E. With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,095.90 / $51,192.20 / $90,149.50
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,281.76 / $41,448.33 / $60,254.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29,677.81 / $39,804.64 / $66,682.08
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,150.32 / $33,853.05 / $41,531.41
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,752.20 / $36,848.16 / $56,389.33
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,493.01 / $39,911.16 / $54,261.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $32,064.85 / $87,611.55