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Virginia rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,111.00 / $36,719.50 / $46,787.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,488.46 / $40,098.68 / $56,558.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,663.44 / $34,731.67 / $53,242.97
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,832.00 / $34,880.00 / $49,551.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,274.00 / $38,576.16 / $63,595.17