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Hawaii rates for HCPCS 12036

Repair, intermediate, wounds of scalp, axillae, trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 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
$239.88 / $363.08 / $758.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.09 / $457.09 / $562.34
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$467.74 / $575.44 / $4,570.88
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $524.81 / $630.96
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
$323.59 / $457.09 / $707.95
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $354.81 / $537.03