go back

Hawaii rates for HCPCS 43113

Tot Esophg W/Thorcom W/Colon Ntrpstj/Int Rcnstj

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,747.00 / $2,747.00 / $2,747.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,885.70 / $4,280.27 / $6,081.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,570.56 / $5,010.60 / $10,638.98
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5,707.43 / $6,412.46 / $7,374.33
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,248.99 / $4,810.18 / $5,611.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,446.00 / $2,446.00 / $2,446.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,088.65 / $5,248.89 / $7,028.13
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $3,713.95 / $5,592.77