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Hawaii rates for MS-DRG 153

Otitis Media And Uri Without 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
$19,461.16 / $19,461.16 / $19,461.16
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,768.00 / $10,245.00 / $11,930.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00