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Wisconsin 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
$31,079.00 / $31,079.00 / $36,834.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,555.35 / $35,071.71 / $52,465.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,418.82 / $31,461.17 / $53,527.53
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,741.78 / $36,489.24 / $59,727.63
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$317.08 / $20,012.43 / $30,477.62
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,879.03 / $36,049.82 / $42,367.58
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,355.82 / $38,452.40 / $48,472.38