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Hawaii rates for HCPCS 13101

Repair, complex, trunk; 2.6 cm to 7.5 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.36 / $382.56 / $1,281.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.40 / $516.42 / $619.71
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.29 / $490.69 / $655.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.98 / $413.14 / $516.42
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,078.00 / $1,078.00 / $1,078.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$421.40 / $516.42 / $1,004.38
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.45 / $311.60 / $495.74