go back

Hawaii rates for MS-DRG 456

Spinal fus exc cerv w spinal curv/malig/infec or ext fus w MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,606.00 / $4,606.00 / $4,606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$221,538.83 / $221,538.83 / $221,538.83
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114,068.00 / $133,286.00 / $155,208.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00