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Hawaii rates for HCPCS 49250

Umbilectomy, omphalectomy, excision of umbilicus (separate procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,635.55 / $2,747.00 / $5,484.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,537.42 / $1,537.42 / $1,537.42
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$650.13 / $709.24 / $827.44
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,155.00 / $2,155.00 / $2,155.00