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Hawaii rates for HCPCS 58958

Resection Recrt Mal W/Omentectomy Pel Lmphadec

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
$1,648.32 / $1,648.32 / $1,741.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,715.82 / $2,017.81 / $2,017.81
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,166.73 / $2,434.38 / $2,872.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,775.68 / $1,937.10 / $2,259.94
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
$1,646.54 / $2,125.17 / $2,768.18
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $1,478.24 / $2,226.05