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Hawaii rates for MS-DRG 842

Lymphoma & non-acute leukemia 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
$26,637.18 / $26,637.18 / $26,637.18
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,405.00 / $49,549.00 / $57,699.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00