go back

Hawaii rates for HCPCS 43313

Esphgp Cgen Dfct Thrc Appr W/O Rpr Fstl

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
$2,417.55 / $2,586.30 / $3,239.17
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,606.71 / $3,476.53 / $6,678.64
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,724.57 / $4,184.67 / $4,812.37
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,948.09 / $3,337.46 / $3,893.71
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
$2,570.52 / $3,476.53 / $4,751.53
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,870.14 / $4,427.95