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Hawaii rates for HCPCS 28112

Ostectomy, complete excision; other metatarsal head (second, third or fourth)

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
$279.05 / $426.89 / $532.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$492.27 / $630.14 / $756.17
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.26 / $592.74 / $784.21
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$357.06 / $534.36 / $630.14
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
$502.19 / $630.14 / $822.96
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$438.73 / $2,500.00 / $6,063.00