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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
$2,747.00 / $6,966.00 / $8,499.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$757.24 / $757.24 / $757.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7,425.00 / $7,425.00 / $7,425.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$651.54 / $1,213.98 / $1,325.54