go back

Texas rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,689.00 / $23,532.00 / $54,099.70
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,060.19 / $31,294.24 / $42,310.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$688.00 / $3,030.00 / $35,265.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,843.00 / $31,844.12 / $62,905.50
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43,371.13 / $62,977.25 / $73,909.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,112.59 / $33,221.35 / $452,621.97
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,284.40 / $29,495.90 / $68,802.30
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,257.00 / $26,727.68 / $61,106.16