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Hawaii rates for HCPCS 28022

Arthrotomy, including exploration, drainage, or removal of loose or foreign body; metatarsophalangeal joint

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$285.56 / $415.25 / $538.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$495.48 / $635.54 / $762.66
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$523.62 / $619.17 / $788.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.86 / $538.95 / $635.54
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
$501.69 / $635.54 / $820.73
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$427.94 / $1,958.52 / $5,287.00