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Hawaii rates for MS-DRG 058

Multiple sclerosis & cerebellar ataxia w 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
$45,067.55 / $45,067.55 / $45,067.55
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,763.00 / $19,587.00 / $22,809.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00