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Pennsylvania rates for MS-DRG 419

Laparoscopic cholecystectomy without C.D.E. without CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,316.80 / $22,329.50 / $30,492.90
Ambetter
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,830.80 / $16,973.50 / $22,480.74
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,980.00 / $22,012.30 / $32,045.30
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,247.36 / $20,937.71 / $30,386.32
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,505.65 / $22,505.65 / $27,328.29
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,423.78 / $22,639.52 / $35,354.69
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,294.90 / $21,447.20 / $30,176.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11,127.98 / $18,465.62 / $28,475.56
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,621.40 / $10,453.99 / $14,644.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,352.34 / $17,079.33 / $31,227.65