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Hawaii rates for HCPCS 33852

Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$912.01 / $1,659.59 / $1,819.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,659.59 / $1,659.59 / $1,737.80
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,905.46 / $2,041.74 / $2,454.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,412.54 / $1,548.82 / $1,819.70
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,348.96 / $1,659.59 / $2,187.76
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $1,659.59 / $2,398.83