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Hawaii rates for MS-DRG 552

Medical Back Problems Without 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
$25,342.75 / $25,342.75 / $25,342.75
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12,167.00 / $14,216.00 / $16,555.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00