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Hawaii rates for HCPCS 0614T

Removal and replacement of substernal implantable defibrillator pulse generator

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $6,918.31 / $6,918.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $758.58 / $1,000.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,413.10 / $7,413.10 / $7,413.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$537.03 / $1,174.90 / $1,318.26