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Hawaii rates for MS-DRG 689

Kidney & urinary tract infections 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
$30,588.99 / $30,588.99 / $30,588.99
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,574.00 / $17,030.00 / $19,831.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00