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Hawaii rates for MS-DRG 825

Lymphoma & non-acute leukemia w other proc w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,606.00 / $4,606.00 / $4,606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35,574.23 / $35,574.23 / $35,574.23
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,825.00 / $24,334.00 / $28,337.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00