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Hawaii rates for HCPCS 35122

Dir Rpr Ruptd Aneursm Hepatic/Celiac/Renal/Mesen

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
$1,880.41 / $1,880.41 / $1,880.41
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,125.76 / $2,125.76 / $2,451.92
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,745.98 / $3,005.17 / $3,715.14
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,870.67 / $2,040.73 / $2,380.85
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
$1,734.62 / $2,235.10 / $2,873.40
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,319.39 / $3,398.00