go back

Hawaii rates for MS-DRG 089

Concussion 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
$28,962.39 / $28,962.39 / $28,962.39
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,683.00 / $21,831.00 / $25,421.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00