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Hawaii rates for HCPCS 33910

Pulmonary artery embolectomy; with cardiopulmonary bypass

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
$1,615.33 / $1,615.33 / $1,615.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,093.52 / $2,093.52 / $3,017.13
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,853.82 / $3,123.19 / $3,861.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,655.07 / $2,896.44 / $3,379.18
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
$2,461.96 / $3,164.04 / $4,115.35
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,248.69 / $3,359.82