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Hawaii rates for HCPCS 25922

Disarticulation through wrist; secondary closure or scar revision

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
$589.77 / $589.77 / $589.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$599.90 / $835.76 / $1,002.92
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$879.55 / $962.58 / $1,136.43
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$735.47 / $802.33 / $936.05
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
$636.12 / $835.76 / $1,024.14
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$693.20 / $2,582.96 / $6,124.00