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Hawaii rates for HCPCS 20962

Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $2,747.00 / $5,484.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,405.65 / $2,723.18 / $4,179.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.90 / $3,327.35 / $3,992.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,484.12 / $3,812.98 / $4,501.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,928.07 / $3,194.26 / $3,726.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,715.12 / $3,327.35 / $4,258.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,901.48 / $4,643.80