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Hawaii rates for MS-DRG 113

Amput For Circ Disor Exc Uppr Limb & Toe

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
$61,982.05 / $61,982.05 / $61,982.05
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15,866.00 / $18,539.00 / $21,589.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00