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Hawaii rates for MS-DRG 447

Multiple Level Spinal Fusion Except Cervical With Mcc Or Custom-Made Anatomically Designed Interbody Fusion Device

Insurance Carrier
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$176,147.02 / $176,147.02 / $176,147.02
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73,310.00 / $81,799.00 / $95,253.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00