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Hawaii rates for HCPCS 40842

Vestibuloplasty; posterior, unilateral

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$597.49 / $716.71 / $839.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$743.08 / $928.03 / $1,072.16
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,061.41 / $1,222.56 / $1,358.83
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$684.71 / $943.50 / $1,200.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$944.51 / $1,279.25 / $1,510.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$759.94 / $2,500.00 / $6,063.00