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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
$19,498.45 / $25,703.96 / $30,902.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,952.62 / $29,512.09 / $38,904.51
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,595.87 / $23,442.29 / $38,018.94
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $13,182.57 / $22,387.21