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Hawaii rates for MS-DRG 069

Transient ischemia w/o thrombolytic

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
$21,058.76 / $21,058.76 / $21,058.76
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14,509.00 / $16,954.00 / $19,742.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00