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Hawaii rates for MS-DRG 117

Intraocular procedures w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,606.00 / $4,606.00 / $4,606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28,601.22 / $28,601.22 / $28,601.22
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,246.00 / $17,814.00 / $20,744.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00