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Hawaii rates for MS-DRG 057

Degenerative nervous system disorders w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,594.00 / $3,594.00 / $3,594.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,155.90 / $34,155.90 / $34,155.90
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21,463.00 / $25,080.00 / $29,205.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00