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Hawaii rates for MS-DRG 391

Esophagitis, gastroent & misc digest disorders w 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
$33,436.19 / $33,436.19 / $33,436.19
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,053.00 / $16,421.00 / $19,122.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00