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Washington rates for MS-DRG 417

Laparoscopic Cholecystectomy Without C.D.E. With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,060.80 / $59,111.10 / $104,095.00
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39,079.69 / $39,079.69 / $39,079.69
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,476.31 / $48,622.81 / $70,683.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,268.69 / $45,962.06 / $76,997.20
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,397.48 / $40,000.94 / $49,150.78
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,438.44 / $44,015.16 / $66,150.00
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,424.99 / $47,297.03 / $64,356.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $37,025.00 / $101,164.27