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Hawaii rates for MS-DRG 200

Pneumothorax 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
$28,980.85 / $28,980.85 / $28,980.85
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,428.00 / $16,858.00 / $19,631.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00