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Hawaii rates for HCPCS 61564

Excision, intra and extracranial, benign tumor of cranial bone (eg, fibrous dysplasia); with optic nerve decompression

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
$2,139.16 / $2,139.16 / $2,429.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,426.02 / $2,867.69 / $2,868.82
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,050.20 / $3,426.99 / $4,043.85
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,523.57 / $2,752.98 / $3,211.81
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
$2,731.50 / $2,867.69 / $3,697.91
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.27 / $2,407.35 / $3,138.85