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Hawaii rates for MS-DRG 917

Poisoning & toxic effects of drugs w 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 / $41,347.73
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17,118.00 / $20,002.00 / $23,291.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00