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Hawaii rates for HCPCS 43205

Esphgoscopy Flex W/Band Ligation Esophgl Varices

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
$151.69 / $165.48 / $193.06
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $1,689.00 / $1,689.00