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Hawaii rates for MS-DRG 624

Skin grafts & wound debrid for endoc, nutrit & metab dis w/o CC/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
$33,003.83 / $33,003.83 / $33,003.83
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38,286.00 / $44,736.00 / $52,094.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00