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Hawaii rates for MS-DRG 901

Wound debridements for injuries 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
$110,634.97 / $110,634.97 / $110,634.97
HMSA
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23,337.00 / $27,268.00 / $31,754.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,775.00 / $3,775.00 / $3,775.00