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Hawaii rates for MS-DRG 392

Esophagitis, gastroent & misc digest disorders w/o 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
$20,552.59 / $20,552.59 / $20,552.59
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,095.00 / $14,133.00 / $16,457.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00