go back

Hawaii rates for HCPCS 23101

Arthrotomy, acromioclavicular joint or sternoclavicular joint, including biopsy and/or excision of torn cartilage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,583.13 / $3,107.00 / $8,431.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$457.41 / $457.41 / $457.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$458.27 / $595.34 / $714.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$615.54 / $691.59 / $5,851.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.90 / $571.52 / $666.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$461.45 / $595.34 / $741.41
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$513.96 / $5,212.49 / $11,157.30