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Hawaii rates for MS-DRG 896

Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With Mcc

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,598.00 / $2,598.00 / $2,598.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,702.00 / $2,702.00 / $2,702.00
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18,776.00 / $21,939.00 / $25,548.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00