go back

Hawaii rates for MS-DRG 124

Other Disorders Of The Eye With Mcc Or Thrombolytic Agent

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
$34,880.89 / $34,880.89 / $34,880.89
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,222.00 / $15,449.00 / $17,991.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00