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Hawaii rates for MS-DRG 563

Fracture, Sprain, Strain And Dislocation Except Femur, Hip, Pelvis And Thigh 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
$23,608.07 / $23,608.07 / $23,608.07
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,930.00 / $12,772.00 / $14,873.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00