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Hawaii rates for MS-DRG 693

Urinary stones 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
$35,445.05 / $35,445.05 / $35,445.05
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,418.00 / $12,173.00 / $14,176.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00