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Hawaii rates for HCPCS 26775

Closed treatment of interphalangeal joint dislocation, single, with manipulation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $389.05 / $562.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $436.52 / $575.44
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $645.65 / $2,630.27
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$416.87 / $512.86 / $660.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,071.52 / $1,071.52 / $1,071.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$302.00 / $436.52 / $575.44
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $416.87 / $562.34