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Pennsylvania rates for MS-DRG 418

Laparoscopic Cholecystectomy Without C.D.E. With Cc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,483.20 / $27,656.00 / $37,766.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,008.00 / $29,430.29 / $41,391.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,650.95 / $25,432.00 / $37,634.72
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,874.18 / $27,874.18 / $33,847.22
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,142.59 / $27,291.55 / $38,176.01
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,254.80 / $27,656.00 / $37,766.69
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,782.46 / $22,870.43 / $35,268.17
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $12,991.54 / $18,433.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,867.63 / $21,153.46 / $38,676.74