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Hawaii rates for MS-DRG 042

Hepatobiliary Diagnostic Procedures with MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,606.00 / $4,606.00 / $4,606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,547.36 / $45,547.36 / $45,547.36
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41,639.00 / $48,655.00 / $56,657.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00