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Hawaii rates for HCPCS 36261

Revision of implanted intra-arterial infusion pump

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,157.88 / $2,747.00 / $3,883.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$371.04 / $371.04 / $371.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$463.92 / $463.92 / $515.59
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$544.03 / $595.38 / $736.03
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$453.72 / $494.96 / $577.46
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$420.72 / $515.59 / $648.80
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$487.85 / $2,040.00 / $5,304.00