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Utah 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
$19,127.09 / $24,659.60 / $31,798.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,147.68 / $33,332.82 / $39,020.56
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,778.73 / $18,519.62 / $27,761.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $13,044.05