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Hawaii rates for HCPCS 12034

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$162.18 / $281.84 / $831.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $354.81 / $436.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$346.74 / $416.87 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$204.17 / $363.08 / $446.68
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
$223.87 / $331.13 / $537.03
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $3,715.35 / $5,495.41