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Hawaii rates for HCPCS 15050

Pinch graft, single or multiple, to cover small ulcer, tip of digit, or other minimal open area (except on face), up to defect size 2 cm diameter

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
$389.05 / $501.19 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$616.60 / $616.60 / $758.58
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$776.25 / $954.99 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $707.95 / $831.76
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
$436.52 / $616.60 / $977.24
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.71 / $562.34 / $5,248.07