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Hawaii rates for HCPCS 33502

Repair of anomalous coronary artery from pulmonary artery origin; by ligation

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
$1,229.99 / $1,229.99 / $1,229.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,509.81 / $1,509.81 / $1,584.19
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,728.15 / $1,891.28 / $2,338.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,328.64 / $1,449.42 / $1,690.99
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
$1,232.01 / $1,519.30 / $1,987.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,535.91 / $2,243.03