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Hawaii rates for MS-DRG 258

Cardiac pacemaker device replacement w 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
$82,835.17 / $82,835.17 / $82,835.17
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19,191.00 / $22,424.00 / $26,113.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00