go back

Hawaii rates for MS-DRG 395

Other Digestive System Diagnoses Without 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
$17,109.59 / $17,109.59 / $17,109.59
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,868.00 / $16,205.00 / $18,870.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00