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Hawaii rates for HCPCS 31755

Tracheoplasty; tracheopharyngeal fistulization, each stage

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,373.83 / $1,628.34 / $1,628.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,756.50 / $2,243.01 / $2,243.01
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,404.40 / $2,701.41 / $3,187.66
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,973.85 / $2,153.29 / $2,512.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,830.30 / $2,243.01 / $2,850.87
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,015.00 / $2,474.28 / $5,304.00