go back

Hawaii rates for MS-DRG 165

Major chest procedures w/o CC/MCC

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
$50,464.05 / $50,464.05 / $50,464.05
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37,761.00 / $44,123.00 / $51,381.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00