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Hawaii rates for MS-DRG 963

Other multiple significant trauma w 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
$72,071.17 / $72,071.17 / $72,071.17
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34,846.00 / $40,717.00 / $47,414.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00