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Hawaii rates for MS-DRG 061

Ischemic Stroke, Precerebral Occlusion Or Transient Ischemia With Thrombolytic Agent With 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
$72,685.42 / $72,685.42 / $72,685.42
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42,223.00 / $49,337.00 / $57,452.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00