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Hawaii rates for HCPCS 42120

Resection of palate or extensive resection of lesion

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.55 / $2,747.00 / $5,484.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.42 / $1,537.42 / $1,537.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,091.92 / $1,236.13 / $1,442.15
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00