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Wisconsin 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
$20,501.30 / $20,501.30 / $24,298.10
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,931.06 / $24,293.64 / $36,341.81
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,767.54 / $20,753.38 / $35,309.47
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,001.63 / $24,070.15 / $39,399.37
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$219.64 / $13,862.31 / $20,104.59
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,071.12 / $23,780.29 / $27,947.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,406.68 / $25,365.15 / $31,974.84