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Hawaii rates for HCPCS 43124

Tot/Prtl Esphg W/O Rcnstj W/Crv Esophagostomy

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
$3,399.49 / $3,636.64 / $4,563.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,824.31 / $4,411.95 / $9,313.09
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,915.89 / $5,523.15 / $6,351.62
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,741.33 / $4,235.47 / $4,941.38
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
$3,590.41 / $4,587.74 / $6,611.90
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $3,196.79 / $4,876.47