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Hawaii rates for MS-DRG 923

Other injury, poisoning & toxic effect diag w/o 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
$26,829.63 / $26,829.63 / $26,829.63
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,564.00 / $17,018.00 / $19,817.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00