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Hawaii rates for MS-DRG 522

Hip replacement w principal diagnosis of hip fracture w/o 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
$55,828.93 / $55,828.93 / $55,828.93
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$32,098.00 / $35,815.00 / $41,706.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00