go back

Hawaii rates for HCPCS 25077

Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,778.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.83 / $912.01 / $1,230.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,023.29 / $1,230.27
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,174.90 / $1,380.38 / $7,762.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$870.96 / $1,000.00 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,698.24 / $1,698.24 / $1,698.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$707.95 / $954.99 / $1,412.54
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,071.52 / $3,235.94 / $6,165.95