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Hawaii rates for MS-DRG 474

Amputation for musculoskeletal sys & conn tissue dis 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
$113,173.72 / $113,173.72 / $113,173.72
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33,815.00 / $39,512.00 / $46,011.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00