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Hawaii rates for MS-DRG 616

Amputat of lower limb for endocrine, nutrit, & metabol dis 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
$91,938.33 / $91,938.33 / $91,938.33
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$59,495.00 / $69,518.00 / $80,953.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00