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Hawaii rates for MS-DRG 414

Cholecystectomy Except By Laparoscope 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
$93,920.82 / $93,920.82 / $93,920.82
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,430.00 / $40,230.00 / $46,847.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00