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Hawaii rates for HCPCS 28665

Closed treatment of interphalangeal joint dislocation; requiring anesthesia

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.65 / $164.64 / $254.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$157.86 / $198.26 / $237.92
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$193.53 / $227.68 / $261.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.99 / $174.47 / $198.26
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$156.75 / $198.26 / $252.71
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.58 / $1,402.00 / $3,725.00