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Hawaii rates for HCPCS 21049

Exc B9 Tum/Cst Maxl Xtr-Oral Osteot&Prtl Maxlc

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,094.72 / $1,094.72 / $1,094.72
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,121.22 / $1,446.41 / $1,735.70
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,609.05 / $1,807.82 / $8,430.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,272.83 / $1,388.56 / $1,619.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,180.27 / $1,446.41 / $1,932.56
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.98 / $1,099.57 / $2,118.00