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Pennsylvania rates for MS-DRG 416

Cholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,478.30 / $22,288.60 / $31,172.00
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,727.00 / $24,794.60 / $33,576.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,931.60 / $20,899.39 / $30,330.70
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,464.46 / $22,464.46 / $27,278.27
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,587.39 / $26,994.11 / $49,633.26
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,294.20 / $22,288.60 / $30,437.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,226.78 / $18,431.82 / $28,883.82
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,871.32 / $15,229.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,340.71 / $17,184.40 / $31,170.49