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Hawaii rates for MS-DRG 673

Other Kidney And Urinary Tract Procedures With 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
$110,766.78 / $110,766.78 / $110,766.78
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,690.00 / $53,387.00 / $62,169.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00