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Hawaii rates for MS-DRG 667

Prostatectomy w/o CC/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
$29,162.75 / $29,162.75 / $29,162.75
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,242.00 / $15,473.00 / $18,018.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00