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Hawaii rates for HCPCS 40844

Vestibuloplasty; entire arch

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,861.43 / $2,747.00 / $6,084.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,044.24 / $1,242.64 / $1,326.55
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,318.97 / $1,636.15 / $1,939.85
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,829.93 / $2,105.46 / $2,335.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,308.05 / $1,707.07 / $2,172.63
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,912.00 / $2,912.00 / $2,912.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,582.92 / $1,939.85 / $2,453.64
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,312.11 / $3,520.00 / $9,057.00