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Hawaii rates for MS-DRG 897

Alcohol/drug abuse or dependence w/o rehabilitation therapy w/o 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
$11,977.00 / $13,995.00 / $16,296.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00