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Hawaii rates for MS-DRG 661

Kidney & ureter procedures for non-neoplasm 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
$27,296.25 / $27,296.25 / $27,296.25
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25,885.00 / $30,246.00 / $35,221.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00