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Wisconsin 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
$30,902.95 / $37,153.52 / $38,018.94
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $39,810.72 / $57,543.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,988.33 / $32,359.37 / $57,543.99
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,915.35 / $30,902.95 / $39,810.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,908.68 / $36,307.81 / $60,255.96
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$263.03 / $23,442.29 / $30,902.95
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $42,657.95 / $43,651.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,442.29 / $38,904.51 / $53,703.18