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Hawaii rates for MS-DRG 409

Biliary tract proc except only cholecyst w or w/o c.d.e. w CC

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
$57,400.16 / $57,400.16 / $57,400.16
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