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Hawaii rates for MS-DRG 493

Lower extrem & humer proc except hip, foot, femur w CC

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
$66,859.20 / $66,859.20 / $66,859.20
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45,502.00 / $53,168.00 / $61,913.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00