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Hawaii rates for MS-DRG 416

Cholecystectomy except by laparoscope w/o c.d.e. w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,882.50 / $12,882.50 / $12,882.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36,307.81 / $36,307.81 / $36,307.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89