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Hawaii rates for MS-DRG 640

Misc disorders of nutrition, metabolism, fluids/electrolytes w 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
$35,210.42 / $35,210.42 / $35,210.42
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16,804.00 / $19,636.00 / $22,865.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00