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Hawaii rates for HCPCS 01922

Anesthesia for non-invasive imaging or radiation therapy

Facilitymedian $603 · 10th–90th $603–$6030%50%100%$603Professionalmedian $776 · 10th–90th $148–$1,1750%20%10th90th$776$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$602.56 / $602.56 / $602.56
Aetna
Facility/Professional
Professional
Modifier
AA
Typical Low / Median / Typical High
$660.69 / $831.76 / $1,621.81
Aetna
Facility/Professional
Professional
Modifier
QK
Typical Low / Median / Typical High
$602.56 / $724.44 / $870.96
Aetna
Facility/Professional
Professional
Modifier
QX
Typical Low / Median / Typical High
$87.10 / $707.95 / $912.01
HMSA
Facility/Professional
Professional
Modifier
QZ
Typical Low / Median / Typical High
$3.72 / $3.98 / $4.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$194.98 / $281.84 / $630.96