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Hawaii rates for MS-DRG 577

Skin graft exc 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
$69,880.39 / $69,880.39 / $69,880.39
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49,765.00 / $58,149.00 / $67,713.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00