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Arizona rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,477.10 / $38,664.50 / $50,818.40
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30,120.21 / $30,120.21 / $30,120.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,976.69 / $27,391.51 / $45,954.90
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,954.58 / $37,101.36 / $65,003.15
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,304.60 / $43,341.80 / $63,282.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,304.60 / $40,291.98 / $63,282.56