go back

Hawaii rates for HCPCS 21355

Percutaneous Tx Malar Area Fracture

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$326.29 / $326.29 / $442.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$460.24 / $586.79 / $704.15
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$529.74 / $610.16 / $685.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.65 / $506.79 / $586.79
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
$435.64 / $586.79 / $709.77
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$402.60 / $2,500.00 / $6,063.00