go back

Hawaii rates for MS-DRG 791

Prematurity With Major Problems

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,018.94 / $38,018.94 / $38,018.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$107,151.93 / $107,151.93 / $107,151.93
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89