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Hawaii rates for MS-DRG 574

Skin graft for skin ulcer or cellulitis 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
$91,516.52 / $91,516.52 / $91,516.52
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,980.00 / $56,063.00 / $65,284.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00