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Hawaii rates for HCPCS 28113

Ostectomy Complete 5th Metatarsal Head

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
$376.25 / $514.87 / $709.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$594.25 / $765.19 / $918.23
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$683.46 / $808.20 / $942.87
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$490.20 / $668.46 / $765.19
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
$604.76 / $765.19 / $987.21
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$519.42 / $2,500.00 / $6,063.00