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Hawaii rates for HCPCS 41017

Extraoral incision and drainage of abscess, cyst, or hematoma of floor of mouth; submandibular

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$864.50 / $2,747.00 / $2,898.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$812.63 / $812.63 / $812.63
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$392.51 / $535.25 / $670.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00