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Hawaii rates for HCPCS 48547

Duodenal exclusion with gastrojejunostomy for pancreatic injury

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
$1,552.99 / $1,711.90 / $2,128.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,744.95 / $2,138.42 / $4,456.04
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,303.77 / $2,588.36 / $2,976.61
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,813.38 / $2,052.89 / $2,395.04
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
$1,706.90 / $2,232.76 / $2,947.25
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,574.32 / $2,523.00