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Hawaii rates for MS-DRG 621

O.R. procedures for obesity w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,276.00 / $3,276.00 / $29,981.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26,715.00 / $31,180.00 / $39,765.94
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,788.00 / $49,997.00 / $58,220.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $21,928.00