go back

Hawaii rates for HCPCS 25085

Capsulotomy Wrist

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
$422.94 / $422.94 / $422.94
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$451.03 / $587.29 / $704.75
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.70 / $690.23 / $814.90
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$516.80 / $563.79 / $657.76
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
$479.23 / $587.29 / $730.74
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$554.54 / $2,582.96 / $6,124.00