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Hawaii rates for HCPCS 28200

Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon

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
$278.99 / $412.18 / $537.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$504.34 / $646.17 / $775.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$515.35 / $606.13 / $805.68
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$372.41 / $547.96 / $646.17
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
$508.20 / $646.17 / $832.40
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$445.54 / $2,500.00 / $6,063.00