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Hawaii rates for MS-DRG 260

Cardiac pacemaker revision except 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
$85,753.57 / $85,753.57 / $85,753.57
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,906.00 / $30,271.00 / $35,250.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00