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Hawaii rates for HCPCS 43314

Esphgp Cgen Dfct Thrc Appr W/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
$2,602.29 / $2,943.45 / $4,530.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,808.26 / $3,695.54 / $7,202.49
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,982.52 / $4,474.47 / $5,145.64
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,133.82 / $3,547.72 / $4,139.00
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
$2,761.14 / $3,695.54 / $5,770.26
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $3,152.95 / $4,826.68