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Hawaii rates for MS-DRG 839

Chemo w acute leukemia as sdx w/o CC/MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,594.00 / $3,594.00 / $3,594.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,065.54 / $38,065.54 / $38,065.54
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48,169.00 / $56,284.00 / $65,542.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00