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Hawaii rates for MS-DRG 125

Other disorders of the eye 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
$20,241.50 / $20,241.50 / $20,241.50
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6,684.00 / $7,811.00 / $9,095.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00