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Hawaii rates for HCPCS 21031

Excision of torus mandibularis

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$255.49 / $295.25 / $341.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$396.57 / $505.38 / $606.45
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$444.95 / $526.16 / $633.17
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.49 / $428.56 / $505.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$395.63 / $502.35 / $655.89
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $376.72 / $7,934.00