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Hawaii rates for HCPCS 28092

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

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
$255.43 / $397.43 / $723.46
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$432.02 / $554.25 / $665.10
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$433.74 / $510.00 / $681.30
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.17 / $470.00 / $554.25
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
$412.27 / $553.79 / $717.65
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$379.48 / $2,500.00 / $6,063.00