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Hawaii rates for HCPCS 28130

Talectomy (astragalectomy)

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
$664.08 / $664.08 / $664.08
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$596.00 / $802.01 / $962.42
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$857.82 / $963.79 / $5,851.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$705.77 / $769.93 / $898.25
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
$642.30 / $802.01 / $1,022.67
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.71 / $2,575.00 / $6,124.00