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Hawaii rates for HCPCS 21146

Rcnstj Midface Lefort I 2 Pieces W/Bone Grafts

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
$1,483.69 / $1,483.69 / $1,575.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.17 / $2,048.33 / $2,457.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,159.48 / $2,426.23 / $2,821.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,802.53 / $1,966.39 / $2,294.12
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
$1,665.53 / $2,048.33 / $2,655.84
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,506.09 / $2,524.19