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Hawaii rates for MS-DRG 335

Peritoneal adhesiolysis w 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
$94,139.64 / $94,139.64 / $94,139.64
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50,205.00 / $58,663.00 / $68,312.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00