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Hawaii rates for MS-DRG 789

Neonates, died or transferred to another acute care facility

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,129.00 / $1,129.00 / $1,129.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,511.40 / $47,511.40 / $47,511.40
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53,526.00 / $62,544.00 / $72,831.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $3,775.00