go back

Hawaii rates for HCPCS 0055T

Computer-assisted musculoskeletal surgical navigational orthopedic procedure, with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,000.00 / $2,884.03 / $2,884.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$186.21 / $229.09 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $138.04 / $194.98
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$234.42 / $269.15 / $331.13
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.04 / $257.04 / $549.54