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Hawaii rates for MS-DRG 495

Local excision & removal int fix devices exc hip & femur 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
$95,584.33 / $95,584.33 / $95,584.33
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$31,813.00 / $37,173.00 / $43,288.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00