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Hawaii rates for MS-DRG 159

Dental And Oral Diseases Without Cc/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
$18,678.18 / $18,678.18 / $18,678.18
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,559.00 / $19,349.00 / $22,531.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00