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Hawaii rates for MS-DRG 418

Laparoscopic Cholecystectomy Without C.D.E. With 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
$44,595.65 / $44,595.65 / $44,595.65
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22,422.00 / $26,200.00 / $30,509.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00