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Utah rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,481.19 / $43,165.60 / $49,524.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,267.67 / $58,347.72 / $67,677.97
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,898.08 / $32,120.77 / $48,150.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $22,833.08