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Hawaii rates for MS-DRG 408

Biliary Tract Procedures Except Only Cholecystectomy With Or Without C.D.E. 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
$93,999.91 / $93,999.91 / $93,999.91
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,422.00 / $44,896.00 / $52,280.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00