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Hawaii rates for HCPCS 40831

Closure of laceration, vestibule of mouth; over 2.5 cm or complex

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.28 / $296.68 / $368.88
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$262.22 / $376.50 / $393.41
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$339.14 / $401.03 / $514.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.74 / $346.20 / $440.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$321.02 / $393.41 / $599.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.52 / $1,402.00 / $3,725.00