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Hawaii rates for MS-DRG 336

Peritoneal adhesiolysis w CC

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
$55,591.66 / $55,591.66 / $55,591.66
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44,380.00 / $51,857.00 / $60,386.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00