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Hawaii rates for MS-DRG 086

Traumatic Stupor And Coma <1 Hour With Cc

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
$34,343.08 / $34,343.08 / $34,343.08
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,980.80 / $16,224.00 / $18,892.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00