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Hawaii rates for MS-DRG 848

Chemotherapy w/o acute leukemia as secondary diagnosis 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
$22,392.73 / $22,392.73 / $22,392.73
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,375.00 / $17,965.00 / $20,920.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00