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Hawaii rates for HCPCS 23172

Sequestrectomy (eg, for osteomyelitis or bone abscess), scapula

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,513.56 / $3,890.45 / $3,890.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $575.44 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$575.44 / $660.69 / $812.83
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$758.58 / $831.76 / $1,023.29
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$588.84 / $676.08 / $831.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $2,137.96 / $2,137.96
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$446.68 / $645.65 / $912.01
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$660.69 / $2,089.30 / $5,370.32