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Hawaii rates for HCPCS 28645

Open Tx Metatarsophalangeal Joint Dislocation

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
$415.75 / $553.73 / $791.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$655.01 / $843.91 / $1,012.70
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$558.41 / $650.59 / $818.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$550.50 / $742.64 / $843.91
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
$671.56 / $843.91 / $1,094.01
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$574.23 / $2,500.00 / $6,063.00