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Indiana rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,801.20 / $44,458.60 / $59,660.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,246.51 / $26,246.51 / $36,513.12
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,982.62 / $37,106.67 / $59,372.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,007.38 / $35,796.00 / $82,094.55
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,020.30 / $35,261.44 / $49,952.12