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Hawaii rates for MS-DRG 279

Ultrasound accelerated & oth thrombolysis of periph vascular w/o MCC

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,884.42 / $33,884.42 / $33,884.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95,499.26 / $95,499.26 / $95,499.26
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,801.89 / $3,801.89 / $3,801.89