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Hawaii rates for MS-DRG 152

Otitis media & URI w 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
$31,166.34 / $31,166.34 / $31,166.34
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,115.00 / $11,819.00 / $13,762.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00