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Hawaii rates for HCPCS 25025

Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve

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
$1,185.74 / $1,185.74 / $1,185.74
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,193.63 / $1,539.64 / $1,847.57
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,547.50 / $1,693.57 / $1,999.46
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,354.88 / $1,478.05 / $1,724.39
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,142.18 / $1,539.64 / $1,926.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,106.00 / $2,582.96 / $6,124.00