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Hawaii rates for MS-DRG 476

Amputation For Musculoskeletal System And Connective Tissue Disorders Without Cc/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
$31,113.61 / $31,113.61 / $31,113.61
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