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Hawaii rates for MS-DRG 337

Peritoneal Adhesiolysis Without 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
$40,467.21 / $40,467.21 / $40,467.21
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27,239.00 / $31,828.00 / $37,064.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00