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Hawaii rates for MS-DRG 155

Other Ear, Nose, Mouth And Throat Diagnoses With Cc

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
$24,161.69 / $24,161.69 / $24,161.69
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,309.00 / $14,383.00 / $16,748.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00