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Hawaii rates for MS-DRG 269

Aortic and heart assist procedures except pulsation balloon w/o 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
$111,336.22 / $111,336.22 / $111,336.22
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79,799.00 / $93,243.00 / $108,580.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00