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Hawaii rates for MS-DRG 382

Complicated peptic ulcer w/o 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
$21,106.22 / $21,106.22 / $21,106.22
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,778.00 / $23,110.00 / $26,912.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00