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Wisconsin 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
$20,538.90 / $20,538.90 / $24,342.70
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,357.88 / $23,361.04 / $34,946.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,798.29 / $20,791.43 / $35,374.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,029.14 / $24,114.29 / $39,471.62
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$211.21 / $13,330.16 / $20,141.45
Security Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,102.41 / $23,823.90 / $27,999.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,434.93 / $25,411.67 / $32,033.47