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Hawaii rates for HCPCS 61613

Obliteration of carotid aneurysm, arteriovenous malformation, or carotid-cavernous fistula by dissection within cavernous sinus

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,884.03 / $3,388.44 / $4,265.80
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,311.31 / $3,890.45 / $3,890.45
HMSA
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4,265.80 / $4,677.35 / $5,623.41
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,388.44 / $3,715.35 / $4,677.35
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,454.71 / $2,454.71 / $2,454.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,162.28 / $3,715.35 / $5,128.61
University Health Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $3,090.30 / $4,365.16