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Hawaii rates for HCPCS 49605

Repair of large omphalocele or gastroschisis; with or without prosthesis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,924.00 / $5,484.00 / $6,718.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,206.56 / $4,683.09 / $7,070.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,858.62 / $5,791.90 / $12,247.74
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6,261.83 / $7,035.35 / $8,090.65
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,911.53 / $5,560.22 / $6,486.93
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
$4,697.03 / $6,001.76 / $8,651.62
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $4,336.97 / $7,229.32