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Hawaii rates for MS-DRG 419

Laparoscopic cholecystectomy w/o c.d.e. w/o CC/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
$36,006.58 / $36,006.58 / $36,006.58
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,505.00 / $16,949.00 / $19,737.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00