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Hawaii rates for MS-DRG 790

Extreme immaturity or respiratory distress syndrome, neonate

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
$156,688.49 / $156,688.49 / $156,688.49
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225,987.00 / $264,061.00 / $307,493.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,200.00 / $3,200.00 / $3,775.00