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Hawaii rates for HCPCS 0258U

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,031.88 / $3,436.13 / $4,410.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,947.75 / $1,947.75 / $1,947.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,410.00 / $4,410.00 / $4,410.00
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $3,848.17 / $4,593.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,042.50 / $4,410.00 / $5,145.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,675.00 / $4,410.00 / $5,512.50