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Hawaii rates for MS-DRG 024

Amputation for Circulatory System Disorders Except Upper Limb and Toe with CC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,606.00 / $4,606.00 / $4,606.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$103,129.42 / $103,129.42 / $103,129.42
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83,023.00 / $97,010.00 / $112,967.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00