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Hawaii rates for MS-DRG 101

Seizures 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
$23,795.24 / $23,795.24 / $23,795.24
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,304.00 / $19,051.00 / $22,185.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00