go back

Hawaii rates for HCPCS 35623

Byp Oth/Thn Vein Axillary-Popliteal/-Tibial

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
$1,407.58 / $1,407.58 / $1,407.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,486.35 / $1,486.35 / $1,817.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,795.05 / $1,964.48 / $2,428.59
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,307.99 / $1,426.90 / $1,664.71
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
$1,212.85 / $1,552.80 / $2,000.01
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,618.17 / $2,411.29