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Utah rates for MS-DRG 419

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,162.20 / $24,704.80 / $28,162.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,184.63 / $32,644.86 / $37,522.61
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,249.79 / $17,808.68 / $26,695.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $13,067.97