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Hawaii rates for HCPCS 42408

Excision of sublingual salivary cyst (ranula)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,324.03 / $2,747.00 / $4,456.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.00 / $415.00 / $552.92
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,244.58 / $1,244.58 / $1,244.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$368.62 / $582.86 / $1,237.21
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$561.46 / $654.13 / $771.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$399.22 / $582.86 / $742.86
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,981.00 / $1,981.00 / $1,981.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.68 / $714.29 / $884.09
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$430.26 / $2,500.00 / $6,063.00