go back

Hawaii rates for MS-DRG 417

Laparoscopic Cholecystectomy 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
$62,912.66 / $62,912.66 / $62,912.66
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24,593.00 / $28,736.00 / $33,462.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00