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Hawaii rates for MS-DRG 025

Percutaneous Cardiovascular Procedures without Intraluminal Device with MCC

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
$119,864.65 / $119,864.65 / $119,864.65
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74,031.00 / $86,503.00 / $100,731.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00