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Hawaii rates for HCPCS 28090

Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cyst or ganglion); foot

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
$272.17 / $404.73 / $815.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$474.59 / $608.10 / $729.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$482.75 / $580.49 / $752.94
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$351.97 / $515.66 / $608.10
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
$481.35 / $608.10 / $788.10
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$417.36 / $2,500.00 / $6,063.00