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Hawaii rates for HCPCS 21603

Excision Ch Wal Tum W/Rib W/Medstnl Lymphadec

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
$1,955.48 / $1,955.48 / $1,955.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,602.28 / $2,042.69 / $2,451.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,339.23 / $2,560.03 / $3,022.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,797.57 / $1,960.98 / $2,287.81
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,028.00 / $3,028.00 / $3,028.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,666.83 / $2,042.69 / $2,794.97
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,502.58 / $2,245.03