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Hawaii rates for MS-DRG 489

Knee procedures w/o pdx of infection w/o 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
$29,442.20 / $29,442.20 / $29,442.20
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20,718.00 / $24,209.00 / $28,190.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00