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Hawaii rates for MS-DRG 139

Salivary gland procedures

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
$32,576.76 / $32,576.76 / $32,576.76
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,075.00 / $21,120.00 / $24,594.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00