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Hawaii rates for HCPCS 49062

Drainage of extraperitoneal lymphocele to peritoneal cavity, open

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
$666.30 / $718.56 / $906.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$732.99 / $935.84 / $1,898.97
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$998.04 / $1,121.32 / $1,289.52
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$793.59 / $898.40 / $1,048.14
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
$707.25 / $935.84 / $1,285.19
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $728.57 / $1,161.14