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Hawaii rates for HCPCS 33140

Transmyocardial laser revascularization, by thoracotomy; (separate procedure)

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
$1,521.66 / $1,521.66 / $1,521.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,805.98 / $1,805.98 / $1,976.72
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,122.40 / $2,322.73 / $2,871.48
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,589.26 / $1,733.74 / $2,022.69
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
$1,473.68 / $1,857.21 / $2,411.37
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,853.63 / $2,157.40