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Hawaii rates for HCPCS 21180

Rcnstj Forehead &/ Supraorbital Rims W/Autograft

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,528.00 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,717.77 / $1,717.77 / $1,717.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,648.81 / $2,112.10 / $2,534.52
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,233.77 / $2,509.71 / $2,918.26
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,858.65 / $2,027.62 / $2,365.55
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
$1,723.47 / $2,112.10 / $2,748.92
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,526.47 / $2,828.36