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Hawaii rates for MS-DRG 202

Bronchitis & asthma w 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
$25,603.75 / $25,603.75 / $25,603.75
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,789.00 / $17,281.00 / $20,123.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00