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Hawaii rates for MS-DRG 402

Single Level Combined Anterior And Posterior Spinal Fusion Except Cervical

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$105,992.44 / $105,992.44 / $105,992.44
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100,587.00 / $112,234.00 / $130,694.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00