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Hawaii rates for HCPCS 31230

Maxillectomy; with orbital exenteration (en bloc)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,598.14 / $1,890.91 / $1,890.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,068.21 / $2,509.69 / $2,509.69
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,674.55 / $3,004.94 / $3,545.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,208.53 / $2,409.30 / $2,810.85
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,047.91 / $2,509.69 / $3,241.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,451.25 / $2,817.08