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Hawaii rates for MS-DRG 792

Prematurity Without Major Problems

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
$64,568.26 / $64,568.26 / $64,568.26
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10,233.00 / $11,957.00 / $13,924.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,850.00 / $1,850.00 / $3,775.00